1669481222 NPI number — PERFORMANCE GROUP ALBERTVILLE

Table of content: (NPI 1669481222)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669481222 NPI number — PERFORMANCE GROUP ALBERTVILLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERFORMANCE GROUP ALBERTVILLE
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:
1669481222
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 14149
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70898-4149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-924-9827
Provider Business Mailing Address Fax Number:
225-924-9829

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4198 U.S. HWY. 431
Provider Second Line Business Practice Location Address:
STE D
Provider Business Practice Location Address City Name:
ALBERTVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35951-0238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-894-3870
Provider Business Practice Location Address Fax Number:
256-894-3872
Provider Enumeration Date:
08/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
ANDREW
Authorized Official Title or Position:
BILLING COORDINATOR
Authorized Official Telephone Number:
256-744-3350

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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