1427159359 NPI number — VIRGINIA D SWARTZ PHD

Table of content: VIRGINIA D SWARTZ PHD (NPI 1427159359)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427159359 NPI number — VIRGINIA D SWARTZ PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWARTZ
Provider First Name:
VIRGINIA
Provider Middle Name:
D
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

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:
1427159359
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1123 N 9TH ST BEATRICE
Provider Second Line Business Mailing Address:
BLUE VALLEY BEHAVIORAL HEALTH
Provider Business Mailing Address City Name:
BEATRICE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-228-3386
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1123 N 9TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEATRICE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-228-3386
Provider Business Practice Location Address Fax Number:
402-228-2004
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  47 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10025208100 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851500 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851517 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851504 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851506 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8087 . This is a "MIDLANDS CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 47052851508 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851510 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025207900 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851505 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851513 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025208200 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851501 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851503 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851507 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851581 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 47052851514 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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