1033229497 NPI number — SEMINOLE TRIBE OF FLORIDA

Table of content: (NPI 1033229497)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033229497 NPI number — SEMINOLE TRIBE OF FLORIDA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEMINOLE TRIBE OF FLORIDA
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:
1033229497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25640 NETWORK PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60673-1256
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-459-0667
Provider Business Mailing Address Fax Number:
305-428-5380

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HC 61 BOX 49
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEWISTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33440-9502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-983-2150
Provider Business Practice Location Address Fax Number:
863-983-8045
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNS
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE ADMINISTRATIVE OFFICER
Authorized Official Telephone Number:
954-966-6300

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 3467 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 008439200 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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