1669714697 NPI number — NORTHWARD BUSINESS SYSTEMS, LLC

Table of content: (NPI 1669714697)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669714697 NPI number — NORTHWARD BUSINESS SYSTEMS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWARD BUSINESS SYSTEMS, LLC
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:
1669714697
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 877651
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASILLA
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99687-7651
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-234-3110
Provider Business Mailing Address Fax Number:
888-881-9814

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3960 S BIRCH COVE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASILLA
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99623-9412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-234-3110
Provider Business Practice Location Address Fax Number:
888-881-9814
Provider Enumeration Date:
03/15/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
NATHANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
888-234-3110

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: TX0050 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".