1144634056 NPI number — ERMC UNIFORM BUSINESS OFFICE

Table of content: (NPI 1144634056)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144634056 NPI number — ERMC UNIFORM BUSINESS OFFICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ERMC UNIFORM BUSINESS OFFICE
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:
SCMH-173RD-DEL DIN
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:
1144634056
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMR 402 BLDG 3700
Provider Second Line Business Mailing Address:
ERMC UBO
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
90180
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
01149637194647400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CASERMA DEL DIN
Provider Second Line Business Practice Location Address:
BLDG 002
Provider Business Practice Location Address City Name:
VICENZA
Provider Business Practice Location Address State Name:
VENETO
Provider Business Practice Location Address Postal Code:
36100
Provider Business Practice Location Address Country Code:
IT
Provider Business Practice Location Address Telephone Number:
011390444619000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCLOUGHLIN
Authorized Official First Name:
HELEN
Authorized Official Middle Name:
Authorized Official Title or Position:
DEPUTY UBO
Authorized Official Telephone Number:
01149637194645471

Provider Taxonomy Codes

  • Taxonomy code: 261QM1100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1093889552 . This is a "PARENT FACILITY LANDSTUL RG MED CENTER NPI 2" identifier . This identifiers is of the category "OTHER".