1922004050 NPI number — BIRTH N' BEYOND

Table of content: (NPI 1922004050)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922004050 NPI number — BIRTH N' BEYOND

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIRTH N' BEYOND
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:
1922004050
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 FITCH ST
Provider Second Line Business Mailing Address:
STE 206
Provider Business Mailing Address City Name:
ELMIRA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14905-1634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-732-1515
Provider Business Mailing Address Fax Number:
607-737-0738

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 FITCH ST
Provider Second Line Business Practice Location Address:
STE 206
Provider Business Practice Location Address City Name:
ELMIRA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14905-1634
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-732-1515
Provider Business Practice Location Address Fax Number:
607-737-0738
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RUMPFF
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
607-732-1515

Provider Taxonomy Codes

  • Taxonomy code: 176B00000X , with the licence number:  N/A ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1010337510001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000024448 . This is a "BCBS IDENTIFICATION NMBR" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 189930 . This is a "GHI GROUP ID NUMBER" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 02001412 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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