1265769434 NPI number — ST.MICHAEL HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265769434 NPI number — ST.MICHAEL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST.MICHAEL HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265769434
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
388 HONG BAO SHI ROAD
Provider Second Line Business Mailing Address:
4 FLOOR
Provider Business Mailing Address City Name:
SHANGHAI
Provider Business Mailing Address State Name:
SHANGHAI
Provider Business Mailing Address Postal Code:
200336
Provider Business Mailing Address Country Code:
CN
Provider Business Mailing Address Telephone Number:
862162781181
Provider Business Mailing Address Fax Number:
862162781182

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
388 HONG BAO SHI ROAD
Provider Second Line Business Practice Location Address:
4 FLOOR
Provider Business Practice Location Address City Name:
SHANGHAI
Provider Business Practice Location Address State Name:
SHANGHAI
Provider Business Practice Location Address Postal Code:
200336
Provider Business Practice Location Address Country Code:
CN
Provider Business Practice Location Address Telephone Number:
862162781181
Provider Business Practice Location Address Fax Number:
862162781182
Provider Enumeration Date:
11/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
CHOU
Authorized Official First Name:
ALEX
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
862162781181

Provider Taxonomy Codes

  • Taxonomy code: 284300000X , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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