1023296555 NPI number — NMRR INC

Table of content: (NPI 1023296555)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023296555 NPI number — NMRR INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NMRR 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:
BRIGHTSTAR HEALTHCARE
Provider Other Organization Name Type Code:
3
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:
1023296555
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3746 MT DIABLO BLVD
Provider Second Line Business Mailing Address:
STE 204
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94549-3680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-284-8888
Provider Business Mailing Address Fax Number:
925-284-8828

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7237 SKYLINE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94611-1120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-338-0419
Provider Business Practice Location Address Fax Number:
510-338-0429
Provider Enumeration Date:
02/06/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHRINER
Authorized Official First Name:
MATTHEW
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
925-284-8888

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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