1477571271 NPI number — MRS. CORNELIA TURNBOW M.S.S.W.

Table of content: MRS. CORNELIA TURNBOW M.S.S.W. (NPI 1477571271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477571271 NPI number — MRS. CORNELIA TURNBOW M.S.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNBOW
Provider First Name:
CORNELIA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.S.W.
Provider Gender Code:
F

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:
1477571271
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 CENTRAL AVE SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-3814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-880-7173
Provider Business Mailing Address Fax Number:
256-880-7178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3330 L AND N DR SW
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-5380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-880-7173
Provider Business Practice Location Address Fax Number:
256-880-7178
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  0079C , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4352150 . This is a "AETNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 510-43997TUR . This is a "BCBS OF AL" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 63-1145162 . This is a "TAX ID #" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 50064 . This is a "CIGNA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: TU4512 . This is a "REGENCE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 025067000 . This is a "MAGELLAN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 008478 . This is a "VALUE OPTIONS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 510-99475 . This is a "BC-FEP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 62-71934 . This is a "UBH" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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