1891743571 NPI number — FIRST RESPONDER EMERGENCY MEDICAL SERVICES, INC.

Table of content: MRS. MONICA MCDOWELL LCSW, LMT (NPI 1487371951)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891743571 NPI number — FIRST RESPONDER EMERGENCY MEDICAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST RESPONDER EMERGENCY MEDICAL SERVICES, 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:
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:
1891743571
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 24
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95927-0024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-897-6345
Provider Business Mailing Address Fax Number:
530-897-6347

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
333 HUSS DR
Provider Second Line Business Practice Location Address:
STE. 100
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95928-8242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-897-6345
Provider Business Practice Location Address Fax Number:
530-897-6347
Provider Enumeration Date:
05/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
530-879-5512

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X , with the licence number:  LDMA380G , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X , with the licence number: A144 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: MTE00396F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590005019 . This is a "RAILROAD MEDICARE ID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com