1639516289 NPI number — NEXT DAY ACCESS LLC

Table of content: (NPI 1639516289)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639516289 NPI number — NEXT DAY ACCESS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEXT DAY ACCESS 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:
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:
1639516289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/26/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3150 STAGE POST DR STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARTLETT
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38133-4050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-386-1830
Provider Business Mailing Address Fax Number:
901-386-1831

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3150 STAGE POST DR STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARTLETT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38133-4050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-386-1830
Provider Business Practice Location Address Fax Number:
901-386-1831
Provider Enumeration Date:
05/22/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CLARK
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
901-791-0002

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00H70 . This is a "MEDICAID DIDD MID" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 00H71 . This is a "MEDICAID DIDD WEST" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 00H69 . This is a "MEDICAID DIDD EAST" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".