1073217964 NPI number — MR. DIANA L MCCAULEY RN

Table of content: MR. DIANA L MCCAULEY RN (NPI 1073217964)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073217964 NPI number — MR. DIANA L MCCAULEY RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCAULEY
Provider First Name:
DIANA
Provider Middle Name:
L
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RN
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:
1073217964
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RR 1 BOX 49M
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEY BEND
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26293-9718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-642-4380
Provider Business Mailing Address Fax Number:
304-637-5606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
909 GORMAN AVE STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKINS
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26241-3100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
130-463-7363
Provider Business Practice Location Address Fax Number:
304-637-5606
Provider Enumeration Date:
03/27/2023

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: 163WH0200X , with the licence number:  28709 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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