1124292529 NPI number — HOWARDCENTER INC.

Table of content: (NPI 1124292529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124292529 NPI number — HOWARDCENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOWARDCENTER 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:
1124292529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
208 FLYNN AVE
Provider Second Line Business Mailing Address:
SUITE 3J
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05401-5429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-488-6922
Provider Business Mailing Address Fax Number:
802-488-6901

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 FLYNN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401-5301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-488-6000
Provider Business Practice Location Address Fax Number:
802-488-6919
Provider Enumeration Date:
04/16/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BRUNELL
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
802-488-6924

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP0905X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1009757 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1009756 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6030002 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1004808 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1004683 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com