1962712224 NPI number — ROCHE HEALTH SOLUTIONS INC.

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 1962712224 NPI number — ROCHE HEALTH SOLUTIONS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCHE HEALTH SOLUTIONS 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:
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:
1962712224
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9115 HAGUE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46256-1025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-280-7801
Provider Business Mailing Address Fax Number:
888-810-0758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 CLOVE RD
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
LITTLE FALLS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07424-2138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-803-8936
Provider Business Practice Location Address Fax Number:
888-810-0758
Provider Enumeration Date:
10/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SHAFFER
Authorized Official First Name:
DENVER
Authorized Official Middle Name:
K
Authorized Official Title or Position:
DIRECTOR, ROCHE HEALTH SOLUTIONS
Authorized Official Telephone Number:
317-521-2000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  0105509540 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 293D00000X , with the licence number: 0105509540 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 236589 . This is a "MEDICARE PTAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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