1245406255 NPI number — CONTINUUMRX, INC.

Table of content: (NPI 1245406255)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245406255 NPI number — CONTINUUMRX, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONTINUUMRX, 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:
1245406255
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 830525
Provider Second Line Business Mailing Address:
DEPT R 2
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35283-0525
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-968-9500
Provider Business Mailing Address Fax Number:
205-991-1501

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2210 SUTHERLAND AVE
Provider Second Line Business Practice Location Address:
SUITE 112
Provider Business Practice Location Address City Name:
KNOXVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37919-2337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
865-525-4886
Provider Business Practice Location Address Fax Number:
865-934-0249
Provider Enumeration Date:
04/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HANSON
Authorized Official First Name:
TOD
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
VP OF OPERATIONS
Authorized Official Telephone Number:
205-968-9500

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  TN3332 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3000553 . This is a "BC/BS DM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3000553 . This is a "BC/BS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 1452247 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com