1144218520 NPI number — MONTGOMERY COUNTY TREAS COURT HOUSE

Table of content: (NPI 1144218520)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144218520 NPI number — MONTGOMERY COUNTY TREAS COURT HOUSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MONTGOMERY COUNTY TREAS COURT HOUSE
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:
1144218520
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1600 BLACK ROCK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROYERSFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19468-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-792-4026
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1600 BLACK ROCK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROYERSFORD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19468-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-792-4026
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MORRISON
Authorized Official First Name:
MARY
Authorized Official Middle Name:
LOU
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
610-792-2224

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  133402 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0007477580001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 098416 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1275596942 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1457653404 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 098438 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1114195336 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1194769596 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1590117 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 178087 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 192127PAA . This is a "PTAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 785606GGM . This is a "PTAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: MD205057E . This is a "LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1558325340 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 177908 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1962412791 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1114195336 . This is a "T88985" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1275596942 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1952389454 . This is a "NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 098439 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 178124 . This is a "GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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