1871040212 NPI number — N.O.R. COMMUNITY MENTAL HEALTH, CORP.

Table of content: (NPI 1871040212)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871040212 NPI number — N.O.R. COMMUNITY MENTAL HEALTH, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
N.O.R. COMMUNITY MENTAL HEALTH, CORP.
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:
1871040212
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1522
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS PIEDRAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00771-1522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-716-0050
Provider Business Mailing Address Fax Number:
787-733-1655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 198 KM 22.0
Provider Second Line Business Practice Location Address:
BO MONTONES I
Provider Business Practice Location Address City Name:
LAS PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00771-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-716-0050
Provider Business Practice Location Address Fax Number:
787-733-1655
Provider Enumeration Date:
09/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
FIGUEROA
Authorized Official First Name:
VIVIAN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
939-244-3822

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1659337699 . This is a "NPI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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