1831666783 NPI number — CAMPESINOS SIN FRONTERAS

Table of content: (NPI 1831666783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831666783 NPI number — CAMPESINOS SIN FRONTERAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAMPESINOS SIN FRONTERAS
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:
1831666783
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 423
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERTON
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85350-0423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-627-5995
Provider Business Mailing Address Fax Number:
928-627-1899

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
663 E MAIN ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
SOMERTON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-627-5995
Provider Business Practice Location Address Fax Number:
928-627-1899
Provider Enumeration Date:
10/30/2018

Additional Information

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
EMMA
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
928-446-7817

Provider Taxonomy Codes

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

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

  • Identifier: 205316 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com