1356604987 NPI number — CAH ACQUISITION COMPANY 9 LLC

Table of content: (NPI 1356604987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356604987 NPI number — CAH ACQUISITION COMPANY 9 LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAH ACQUISITION COMPANY 9 LLC
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:
SEILING COMMUNITY HOSPITAL PROFESSIONAL GROUP
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:
1356604987
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 720
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEILING
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73663-0720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
580-922-7361
Provider Business Mailing Address Fax Number:
580-922-7718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
US HIGHWAY 60 NORTHEAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEILING
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73663
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-922-7361
Provider Business Practice Location Address Fax Number:
580-922-7718
Provider Enumeration Date:
06/19/2012

Additional Information

Authorized Official

Authorized Official Last Name:
TROXELL
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
G
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
580-922-7361

Provider Taxonomy Codes

  • Taxonomy code: 133N00000X , with the licence number:  2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207P00000X , with the licence number: 2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: 2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , with the licence number: 2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363A00000X , with the licence number: 2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , with the licence number: 2256 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2024 www.npivalidator.com