1902024417 NPI number — BLACK HAWK CENTER FOR INDEPENDENT LIVING

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902024417 NPI number — BLACK HAWK CENTER FOR INDEPENDENT LIVING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLACK HAWK CENTER FOR INDEPENDENT LIVING
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:
1902024417
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:
312 JEFFERSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERLOO
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50701-1322
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-291-7755
Provider Business Mailing Address Fax Number:
319-291-7781

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
312 JEFFERSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERLOO
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50701-1322
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-291-7755
Provider Business Practice Location Address Fax Number:
319-291-7781
Provider Enumeration Date:
04/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHUMAKER
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
319-291-7755

Provider Taxonomy Codes

  • Taxonomy code: 347B00000X , with the licence number:  0454736 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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