1346493830 NPI number — PROGRESS HOUSE

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 1346493830 NPI number — PROGRESS HOUSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROGRESS HOUSE
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:
1346493830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2914 COLD SPRINGS RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
PLACERVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95667-4220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-626-9240
Provider Business Mailing Address Fax Number:
530-626-8992

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2914 COLD SPRINGS RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
PLACERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95667-4220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-389-9208
Provider Business Practice Location Address Fax Number:
530-389-9209
Provider Enumeration Date:
10/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MCCOLLUM
Authorized Official First Name:
JAMIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CASI
Authorized Official Telephone Number:
530-389-9208

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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