1306817176 NPI number — RISK MANAGMENT INCORPORATED

Table of content: (NPI 1306817176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306817176 NPI number — RISK MANAGMENT INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RISK MANAGMENT INCORPORATED
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:
1306817176
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 MORSE CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHIRLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01464-2908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-425-5785
Provider Business Mailing Address Fax Number:
978-425-5783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 MORSE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHIRLEY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01464-2908
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-425-5785
Provider Business Practice Location Address Fax Number:
978-425-5783
Provider Enumeration Date:
01/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WOODMAN
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
MILNER
Authorized Official Title or Position:
PRESIDENT, CFO
Authorized Official Telephone Number:
978-425-5785

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  772 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: NU772 . This is a "MASSACHUSETTS RDN, LDN LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA33530 . This is a "HARVARD-PILGRIM HEALTHCAR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: LG0008 . This is a "BCBS GROUP NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 602853 . This is a "TUFTS HEALTHPLANS GROUP #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com