1043291271 NPI number — BETH ANN RAMSEY N.P.

Table of content: BETH ANN RAMSEY N.P. (NPI 1043291271)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043291271 NPI number — BETH ANN RAMSEY N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMSEY
Provider First Name:
BETH
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
N.P.
Provider Gender Code:
F

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:
1043291271
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2519 S SHIELDS ST
Provider Second Line Business Mailing Address:
PMB I-143
Provider Business Mailing Address City Name:
FT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80526-1855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-674-0079
Provider Business Mailing Address Fax Number:
970-419-4780

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 W 25TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREELEY
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80634-3734
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-674-0079
Provider Business Practice Location Address Fax Number:
970-419-4780
Provider Enumeration Date:
11/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  165151 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DB5993 . This is a "RR MEDICARE GROUP" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 80627544 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 17981531 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00186653 . This is a "RR MEDICARE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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