1558505974 NPI number — HEATHER N MCADAMS RN

Table of content: HEATHER N MCADAMS RN (NPI 1558505974)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558505974 NPI number — HEATHER N MCADAMS RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCADAMS
Provider First Name:
HEATHER
Provider Middle Name:
N
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOBBS
Provider Other First Name:
HEATHER
Provider Other Middle Name:
N
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1558505974
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
502 NORTH MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45814
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-420-5043
Provider Business Mailing Address Fax Number:
419-365-5759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
502 NORTH MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-420-5043
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2009

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: 164W00000X , with the licence number:  PN 122363 IV , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163W00000X , with the licence number: RN500493 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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