1447317896 NPI number — BUTLER HEALTHCARE PROVIDERS

Table of content: (NPI 1447317896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447317896 NPI number — BUTLER HEALTHCARE PROVIDERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUTLER HEALTHCARE PROVIDERS
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:
BUTLER MEMORIAL HOSPITAL
Provider Other Organization Name Type Code:
3
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:
1447317896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
911 E BRADY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16001-4646
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
911 E BRADY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-4646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-284-4467
Provider Business Practice Location Address Fax Number:
724-284-4095
Provider Enumeration Date:
01/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WEST
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR, NETWORK BUSINESS SERVICES
Authorized Official Telephone Number:
724-284-4467

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 154076 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1006792 . This is a "GATEWAY MATERNAL SERV" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600009 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007731600029 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1837 . This is a "ADVANTRA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 300107 . This is a "BLACK LUNG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 56071 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 430001161 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 60422 . This is a "UNSION" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7019276 . This is a "AETNA PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0001368 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600031 . This is a "ADHD SUMMER EXPRESS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 046 . This is a "BLUE CROSS ACUTE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 109389 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1003635 . This is a "GATEWAY INPT,OP.OPS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600013 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 390168 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007731600010 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P008324 . This is a "TRICARE INPT OUTPATIENT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 012485900 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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