1174562730 NPI number — NURSEFINDERS, LLC

Table of content: (NPI 1174562730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174562730 NPI number — NURSEFINDERS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSEFINDERS, LLC
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:
NURSEFINDERS OF ALBUQUERQUE
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:
1174562730
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
524 E LAMAR BLVD
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76011-3903
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-462-9063
Provider Business Mailing Address Fax Number:
817-462-9143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4411 MCLEOD RD NE
Provider Second Line Business Practice Location Address:
SUITE A-1A
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87109-2227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-884-5041
Provider Business Practice Location Address Fax Number:
505-888-6415
Provider Enumeration Date:
06/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
DENISE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
SENIOR VICE PRESIDENT
Authorized Official Telephone Number:
858-892-0711

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  6577 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: N2912 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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