1366623266 NPI number — REHAB & INDUSTRIAL SERVICES, LLP

Table of content: (NPI 1366623266)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366623266 NPI number — REHAB & INDUSTRIAL SERVICES, LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHAB & INDUSTRIAL SERVICES, LLP
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:
REHAB SERVICES OF NEVADA - LAS VEGAS
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:
1366623266
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 HANSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINNEMUCCA
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89445-3607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-625-2222
Provider Business Mailing Address Fax Number:
775-625-1131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5546 S FORT APACHE RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89148-7692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-947-9994
Provider Business Practice Location Address Fax Number:
702-947-9998
Provider Enumeration Date:
11/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SNOW
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
775-625-2222

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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