1235320540 NPI number — DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC

Table of content: (NPI 1235320540)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235320540 NPI number — DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIABETES ASSOCIATION OF ST JOSEPH COUNTY 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:
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:
1235320540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6910 NORTH MAIN STREET
Provider Second Line Business Mailing Address:
BLDG. 9, MAIL UNIT #10
Provider Business Mailing Address City Name:
GRANGER
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-247-6047
Provider Business Mailing Address Fax Number:
547-247-6060

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6910 NORTH MAIN ST
Provider Second Line Business Practice Location Address:
BUILDING 9
Provider Business Practice Location Address City Name:
GRANGER
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-247-6047
Provider Business Practice Location Address Fax Number:
574-247-6060
Provider Enumeration Date:
08/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RAINE
Authorized Official First Name:
BONITA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
574-247-6047

Provider Taxonomy Codes

  • Taxonomy code: 163WD0400X , with the licence number:  28071850A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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