1295371573 NPI number — SIGMA CUTS MEDICAL TRAINING ACADEMY

Table of content: (NPI 1295371573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295371573 NPI number — SIGMA CUTS MEDICAL TRAINING ACADEMY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIGMA CUTS MEDICAL TRAINING ACADEMY
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:
SIGMA COMMUNITY HELATH CARE
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:
1295371573
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
334 E HATCHER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85020-2536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-654-2179
Provider Business Mailing Address Fax Number:
602-654-2141

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
334 E HATCHER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85020-2536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-654-2179
Provider Business Practice Location Address Fax Number:
602-654-2141
Provider Enumeration Date:
11/21/2019

Additional Information

Authorized Official

Authorized Official Last Name:
STARK
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR REVENUE CYCLE MANAGEMENT
Authorized Official Telephone Number:
928-398-7438

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 51454 . This is a "MD LICENSE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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