1841416716 NPI number — FRANK C. STEUDLEIN LEARNING CENTER

Table of content: (NPI 1841416716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841416716 NPI number — FRANK C. STEUDLEIN LEARNING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANK C. STEUDLEIN LEARNING CENTER
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:
1841416716
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
207 BALFOUR RD
Provider Second Line Business Mailing Address:
PO BOX 2627
Provider Business Mailing Address City Name:
WEST MEMPHIS
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72301-1701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-733-9950
Provider Business Mailing Address Fax Number:
870-733-9966

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
207 BALFOUR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST MEMPHIS
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72301-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-733-9950
Provider Business Practice Location Address Fax Number:
870-733-9966
Provider Enumeration Date:
04/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CLOYD
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
D
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
870-733-9950

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 118334715 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149425724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149726724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 102018724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149419724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 145714778 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149423724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149722724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149417724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149420724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 132509786 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149416724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116869742 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149418724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149421724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149424724 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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