1326016080 NPI number — SKY-HI WINDOW WORKS INC

Table of content: (NPI 1326016080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326016080 NPI number — SKY-HI WINDOW WORKS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SKY-HI WINDOW WORKS 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:
FOUR STAR MEDICAL EQUIPMENT
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:
1326016080
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21953 KATY FREEWAY
Provider Second Line Business Mailing Address:
A
Provider Business Mailing Address City Name:
KATY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77450-1756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-392-8579
Provider Business Mailing Address Fax Number:
281-392-8597

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21953 KATY FREEWAY
Provider Second Line Business Practice Location Address:
A
Provider Business Practice Location Address City Name:
KATY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77450-1756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-392-8579
Provider Business Practice Location Address Fax Number:
281-392-8597
Provider Enumeration Date:
03/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRAY
Authorized Official First Name:
JUDY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
281-392-8579

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0074075 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0012395 . This is a "GERMICIDAL TREATMENT" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 167011902 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0012395 . This is a "BEDDING DISTRIBUTOR" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0074075 . This is a "MEDICAL DEVICE DISTRIBUTO" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 167011901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10958 . This is a "PEDORTHIST" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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