1326104720 NPI number — CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326104720 NPI number — CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTIAN MINISTRIES VOLUNTEER ORGANIZATION
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:
6
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:
1326104720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
121 W COLLEGE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRIFFIN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30224-4220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-233-0400
Provider Business Mailing Address Fax Number:
770-233-4441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
630 MERIWETHER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRIFFIN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30224-4139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-233-8116
Provider Business Practice Location Address Fax Number:
770-233-8482
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ODOM
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
770-227-9222

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com