1326284092 NPI number — SKILLS, INC

Table of content: (NPI 1326284092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326284092 NPI number — SKILLS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SKILLS, 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:
1326284092
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
461 HARTLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT ALBANS
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04971-7436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-938-4615
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
461 HARTLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT ALBANS
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04971-7436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-938-4615
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/30/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
207-938-4615

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320900000X , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 103480205 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480203 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480206 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480210 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480200 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480208 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480209 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480211 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480204 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 103480207 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com