1144479437 NPI number — STILLPOINT SERVICES, INC.

Table of content: (NPI 1144479437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144479437 NPI number — STILLPOINT SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STILLPOINT SERVICES, INC.
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:
1144479437
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
49 EUCLID BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28806-4509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-279-2550
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
70 WOODFIN PL
Provider Second Line Business Practice Location Address:
SUITE 122
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28801-2463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-252-7181
Provider Business Practice Location Address Fax Number:
828-252-7182
Provider Enumeration Date:
09/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
RACHAEL
Authorized Official Middle Name:
MACY
Authorized Official Title or Position:
SECRETARY/TREASURER
Authorized Official Telephone Number:
828-279-2550

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  4379 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YP2500X , with the licence number: 4462 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1356W . This is a "BC/BS NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1164461463 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1043263817 . This is a "NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1353X . This is a "BC/BS NC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6102393 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6102394 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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