1487758066 NPI number — ALLENTOWN WOMENS CENTER

Table of content: (NPI 1487758066)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487758066 NPI number — ALLENTOWN WOMENS CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLENTOWN WOMENS CENTER
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:
AWC ALLENTOWNS WOMENS CENTER
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:
1487758066
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
31 SOUTH COMMERCE WAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
BETHLEHEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18017-8916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-821-0821
Provider Business Mailing Address Fax Number:
484-821-0826

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 SOUTH COMMERCE WAY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18017-8916
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-821-0821
Provider Business Practice Location Address Fax Number:
484-821-0826
Provider Enumeration Date:
09/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
SHARYN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
484-821-0821

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0007590510002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com