1740371608 NPI number — ADVOCATE HOME SPECIALTY CARE INC

Table of content: MICHAEL BRIAN SMIGELSKI MD (NPI 1902267677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740371608 NPI number — ADVOCATE HOME SPECIALTY CARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVOCATE HOME SPECIALTY CARE INC
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:
6
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:
1740371608
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1004 LINCOLN
Provider Second Line Business Mailing Address:
PO BOX 63
Provider Business Mailing Address City Name:
WAMEGO
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-456-8910
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1004 LINCOLN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAMEGO
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-456-8910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROGERS
Authorized Official First Name:
LORI
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT ADMINISTRATOR
Authorized Official Telephone Number:
785-456-8910

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  A-075-004 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com