1174656573 NPI number — 421 MEDICAL CENTER

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174656573 NPI number — 421 MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
421 MEDICAL CENTER
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:
1174656573
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BUILDING 26
Provider Second Line Business Mailing Address:
MEDICAL CENTER
Provider Business Mailing Address City Name:
RAF MENWITH HILL
Provider Business Mailing Address State Name:
HARROGATE
Provider Business Mailing Address Postal Code:
HG3 2RF
Provider Business Mailing Address Country Code:
GB
Provider Business Mailing Address Telephone Number:
01423777229
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BUILDING 26
Provider Second Line Business Practice Location Address:
MEDICAL CENTER
Provider Business Practice Location Address City Name:
RAF MENWITH HILL
Provider Business Practice Location Address State Name:
HARROGATE
Provider Business Practice Location Address Postal Code:
HG3 2RF
Provider Business Practice Location Address Country Code:
GB
Provider Business Practice Location Address Telephone Number:
01423777229
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
EATON
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
AIR FORCE UNIFORM BUSINESS OFFICE
Authorized Official Telephone Number:
703-681-6303

Provider Taxonomy Codes

  • Taxonomy code: 261QM1103X , with the licence number:  1710973029 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1710973029 . This is a "MEDICAL PHYSICIAN SURGEON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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