1821320342 NPI number — HARRIGAN FOUNDATION

Table of content: (NPI 1821320342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821320342 NPI number — HARRIGAN FOUNDATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARRIGAN FOUNDATION
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:
1821320342
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 SE 6TH AVE
Provider Second Line Business Mailing Address:
UNIT A-1
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33483-5264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-587-7771
Provider Business Mailing Address Fax Number:
954-252-3982

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
705 LINTON BLVD
Provider Second Line Business Practice Location Address:
SUITE A-105
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33444-8164
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-587-7771
Provider Business Practice Location Address Fax Number:
954-252-3982
Provider Enumeration Date:
02/09/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HARRIGAN
Authorized Official First Name:
PETER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
954-587-7771

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  1550AD187801 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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