1144993569 NPI number — HOMER MASSAGE THERAPY

Table of content: DR. DAVID HARE HARSHAW MD (NPI 1417047291)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144993569 NPI number — HOMER MASSAGE THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOMER MASSAGE THERAPY
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:
6
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:
1144993569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 407
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHOR POINT
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99556-0407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-299-8284
Provider Business Mailing Address Fax Number:
206-312-3201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1104 OCEAN DR UNIT A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOMER
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99603-7919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-299-8284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2021

Additional Information

Authorized Official

Authorized Official Last Name:
RICE
Authorized Official First Name:
ROSALIE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
907-299-8284

Provider Taxonomy Codes

  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 45-2493925 , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".




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