1932570975 NPI number — NEUROSURGERY HEALTH SERVICES PLC

Table of content: (NPI 1932570975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932570975 NPI number — NEUROSURGERY HEALTH SERVICES PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEUROSURGERY HEALTH SERVICES PLC
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:
1932570975
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9879
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77387-6879
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-785-8765
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
414 PLYMOUTH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND RAPIDS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49505-6038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-785-8765
Provider Business Practice Location Address Fax Number:
281-820-1901
Provider Enumeration Date:
10/16/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MESSINK
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
616-454-3465

Provider Taxonomy Codes

  • Taxonomy code: 363AS0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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