1427020809 NPI number — SIMS CONSULTING & CLINICAL SERVICES INC.

Table of content: (NPI 1427020809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427020809 NPI number — SIMS CONSULTING & CLINICAL SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SIMS CONSULTING & CLINICAL SERVICES 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:
1427020809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 S MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KANNAPOLIS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28081-3203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-521-5040
Provider Business Mailing Address Fax Number:
866-828-5520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 WEST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANNAPOLIS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28081-4332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-521-5040
Provider Business Practice Location Address Fax Number:
866-828-5520
Provider Enumeration Date:
02/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SIMS
Authorized Official First Name:
ARLANA
Authorized Official Middle Name:
DODSON
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
980-521-5040

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 3322 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 6005303 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6005303 . This is a "NORTH CAROLINA HEALTH CHOICE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8302869G , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302833 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302869 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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