1619633641 NPI number — NURSETEL

Table of content: (NPI 1619633641)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619633641 NPI number — NURSETEL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSETEL
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:
1619633641
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 590
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36601-0590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-264-3009
Provider Business Mailing Address Fax Number:
251-973-8212

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3331 RAINBOW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RAINBOW CITY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35906-6205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-458-0875
Provider Business Practice Location Address Fax Number:
251-973-8212
Provider Enumeration Date:
11/15/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WHITE
Authorized Official First Name:
SHELIA
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
334-458-0875

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 283X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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