1023183183 NPI number — MACARTHUR PRIMARY CARE CENTER

Table of content: DR. ASHLEY MALOY BASINGER DDS (NPI 1952525834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023183183 NPI number — MACARTHUR PRIMARY CARE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MACARTHUR PRIMARY CARE CENTER
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:
1023183183
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:
3712 MACARTHUR BLVD
Provider Second Line Business Mailing Address:
#202
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-368-4066
Provider Business Mailing Address Fax Number:
504-368-3400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3712 MACARTHUR BLVD
Provider Second Line Business Practice Location Address:
#202
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-368-4066
Provider Business Practice Location Address Fax Number:
504-368-3400
Provider Enumeration Date:
11/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DREZ
Authorized Official First Name:
CHERIE
Authorized Official Middle Name:
MARY
Authorized Official Title or Position:
OWNER DOCTOR
Authorized Official Telephone Number:
504-368-4066

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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