1043635022 NPI number — R.D.,L.L.C.

Table of content: (NPI 1043635022)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043635022 NPI number — R.D.,L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
R.D.,L.L.C.
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:
1043635022
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8169
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YAKIMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98908-0169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-584-0300
Provider Business Mailing Address Fax Number:
509-584-0302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
507 W 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAPATO
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98951-1105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-584-0300
Provider Business Practice Location Address Fax Number:
509-584-0302
Provider Enumeration Date:
02/27/2014

Additional Information

Authorized Official

Authorized Official Last Name:
DHRUVA
Authorized Official First Name:
DEEPAK
Authorized Official Middle Name:
K
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
509-584-0300

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2036375 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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