1306803861 NPI number — BARFIELD ENTERPRISES, INC.

Table of content: (NPI 1306803861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306803861 NPI number — BARFIELD ENTERPRISES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARFIELD 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:
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:
1306803861
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 157
Provider Second Line Business Mailing Address:
5421 MAIN ST
Provider Business Mailing Address City Name:
GRANT
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35747-0157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-728-4217
Provider Business Mailing Address Fax Number:
256-728-5603

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5421 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRANT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35747-8322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-728-4217
Provider Business Practice Location Address Fax Number:
256-728-5603
Provider Enumeration Date:
04/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
NICOLE
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
VICE-PRES
Authorized Official Telephone Number:
256-728-4217

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  104680 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336L0003X , with the licence number: 104680 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 51080000 . This is a "BLUE CROSS BLUS SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 100000425 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009940460 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0107169 . This is a "NABP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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