1932396884 NPI number — H. MANNING CURTIS, M.D.

Table of content: (NPI 1932396884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932396884 NPI number — H. MANNING CURTIS, M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H. MANNING CURTIS, M.D.
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:
THE MIND HEAL CLINIC
Provider Other Organization Name Type Code:
3
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:
1932396884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
197 8TH ST
Provider Second Line Business Mailing Address:
PH212
Provider Business Mailing Address City Name:
CHARLESTOWN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02129-4208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-646-3432
Provider Business Mailing Address Fax Number:
844-646-3432

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
565 TURNPIKE ST
Provider Second Line Business Practice Location Address:
SUITE 76
Provider Business Practice Location Address City Name:
NORTH ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845-5922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-646-3432
Provider Business Practice Location Address Fax Number:
844-646-3432
Provider Enumeration Date:
09/25/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CURTIS
Authorized Official First Name:
HARRY
Authorized Official Middle Name:
MANNING
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
978-758-6338

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  47606 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 47606 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207UN0901X , with the licence number: 47606 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0100061YPMA01 . This is a "BCBS ANTHEM" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 110014512 . This is a "RRMCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3091899 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: D30840 . This is a "RRMCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 01Y008405MA02 . This is a "BCBS ANTHEM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: H33858 . This is a "UPIN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: CURT113057 . This is a "BCBS ANTHEM GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M20780 . This is a "UPIN GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1115356 . This is a "AETNA/USHEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 3472834 . This is a "AETNA/USHEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: A66332 . This is a "UPIN" identifier . This identifiers is of the category "OTHER".
  • Identifier: J03594 . This is a "BCBS MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J26980 . This is a "BCBS MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M17476 . This is a "BCBS MA GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 82960 . This is a "AETNA/USHEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: I20201 . This is a "UPIN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com