1790946101 NPI number — HENSLEY GROUP INC

Table of content: (NPI 1790946101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790946101 NPI number — HENSLEY GROUP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENSLEY GROUP INC
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:
1790946101
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1776
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GLASGOW
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42142-1776
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-651-7800
Provider Business Mailing Address Fax Number:
270-629-2800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1304 N RACE ST STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLASGOW
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42141-3464
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-651-7800
Provider Business Practice Location Address Fax Number:
270-629-2800
Provider Enumeration Date:
06/18/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HENSLEY
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
SEC. TREASURE
Authorized Official Telephone Number:
270-651-7800

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  352 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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