1174607485 NPI number — TRI ENTERPRISES, INC.

Table of content: (NPI 1174607485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174607485 NPI number — TRI ENTERPRISES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRI ENTERPRISES, 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:
HEALTHCARE SPECIALTIES
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:
1174607485
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 504816
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAIPAN
Provider Business Mailing Address State Name:
MP
Provider Business Mailing Address Postal Code:
96950-4309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
670-322-2783
Provider Business Mailing Address Fax Number:
671-323-8741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MIDDLE RD GUALO RAI
Provider Second Line Business Practice Location Address:
KIM'S BLDG SUITE 101
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950-4309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-322-2783
Provider Business Practice Location Address Fax Number:
671-323-8741
Provider Enumeration Date:
10/24/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RAMOS
Authorized Official First Name:
GIA
Authorized Official Middle Name:
BLANCAFLOR
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
670-322-2783

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of MP ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , registered in the state of MP ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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