1306921333 NPI number — BUCHANAN COUNTY CASE MANAGEMENT

Table of content: MISS TABINDA NAZIR MD (NPI 1679531347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306921333 NPI number — BUCHANAN COUNTY CASE MANAGEMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUCHANAN COUNTY CASE MANAGEMENT
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:
1306921333
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 5TH AVE NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDEPENDENCE
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50644-1959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-334-7450
Provider Business Mailing Address Fax Number:
319-334-7495

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 5TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50644-1959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-334-7450
Provider Business Practice Location Address Fax Number:
319-334-7495
Provider Enumeration Date:
10/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BERNER
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CPC DIRECTOR
Authorized Official Telephone Number:
319-334-7450

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0183186 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0082487 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".