1699242412 NPI number — PARKWAY OPERATING CO LLC

Table of content: MRS. ARACELI AZURIN ANTONIO RN (NPI 1023861531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699242412 NPI number — PARKWAY OPERATING CO LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARKWAY OPERATING CO 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:
ADVANCED HEALTHCARE CENTER
Provider Other Organization Name Type Code:
3
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:
1699242412
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/16/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10123 ALLIANCE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUE ASH
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45242-4714
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-489-7100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
955 GARDEN LAKE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43614-2777
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-382-2200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2018

Additional Information

Authorized Official

Authorized Official Last Name:
TRANQUILLO
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
Authorized Official Title or Position:
VP/CONTROLLER
Authorized Official Telephone Number:
513-530-1324

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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