1619783875 NPI number — FELTS TRAINING INSTITUTE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619783875 NPI number — FELTS TRAINING INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FELTS TRAINING INSTITUTE
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:
1619783875
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1055
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PERRY
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31069-1055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-714-0435
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 STONEGATE TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PERRY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31069-4977
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-993-2844
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/03/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROGERS-FELTS
Authorized Official First Name:
YOLANDA
Authorized Official Middle Name:
ARTIS
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
404-993-2844

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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