1851498299 NPI number — HEARTBEAT ECHO SERVICES, INC

Table of content: (NPI 1851498299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851498299 NPI number — HEARTBEAT ECHO SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARTBEAT ECHO SERVICES, 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:
1851498299
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3601 PLANK RD # 358
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREDERICKSBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22407-6888
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-786-0383
Provider Business Mailing Address Fax Number:
540-786-0383

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3601 PLANK RD # 358
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREDERICKSBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22407-6888
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-786-0383
Provider Business Practice Location Address Fax Number:
540-786-0383
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REYNOLDS
Authorized Official First Name:
LINDA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER/TECH
Authorized Official Telephone Number:
540-786-0383

Provider Taxonomy Codes

  • Taxonomy code: 246XS1301X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 223780 . This is a "ANTHEM BC/BS PROVIDER #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 268067 . This is a "MDIPA/OPT CHOICE PROV #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 268067 . This is a "MAMSI PROVIDER #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 4991273 . This is a "VA PREMIER PROVIDER #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 4991273 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 268067 . This is a "ALLIANCE PROVIDER #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com