1427283647 NPI number — HEALTH HELP INCORPORATED

Table of content: (NPI 1427283647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427283647 NPI number — HEALTH HELP INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH HELP INCORPORATED
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:
WHITE HOUSE CLINIC
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:
1427283647
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1010 MAIN ST SOUTH
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC KEE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40447-7089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-287-7104
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 STACY LANE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-723-0665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SARGENT
Authorized Official First Name:
JENNY
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALER
Authorized Official Telephone Number:
859-626-7700

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , with the licence number:  700030 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 31000243 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01439 . This is a "MEDICARE ADMINISTAR" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".