1063417533 NPI number — WORDS PLUS INC

Table of content: (NPI 1063417533)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063417533 NPI number — WORDS PLUS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WORDS PLUS 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:
1063417533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/21/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
749 COUNTY ROAD 54
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BREMEN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35033-4227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-869-8521
Provider Business Mailing Address Fax Number:
888-298-9056

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
749 COUNTY ROAD 54
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREMEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35033-4227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-869-8521
Provider Business Practice Location Address Fax Number:
888-298-9056
Provider Enumeration Date:
06/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
PONDER
Authorized Official First Name:
GAYLON
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
256-339-2465

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01484968 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01580362 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100465250A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 143503 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1990655 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0982076 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1657875 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9009224800 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: DME00326F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003108760 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100816560A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 98002363 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 017143101 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100816560C , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30007696 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010089301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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