1548570666 NPI number — RAI CARE CENTERS OF UNIONTOWN LLC

Table of content: (NPI 1548570666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548570666 NPI number — RAI CARE CENTERS OF UNIONTOWN LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAI CARE CENTERS OF UNIONTOWN 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:
Provider Other Organization Name Type Code:
6
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:
1548570666
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
424 CHURCH ST
Provider Second Line Business Mailing Address:
SUITE 1900
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37219-2301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-777-8201
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 MARY HIGGINSON LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-430-0330
Provider Business Practice Location Address Fax Number:
724-430-0336
Provider Enumeration Date:
10/08/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BAKER
Authorized Official First Name:
TAMMY
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
MANAGED CARE COORDINATOR
Authorized Official Telephone Number:
615-234-1188

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com