1154427383 NPI number — ISD NO 2754

Table of content: (NPI 1154427383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154427383 NPI number — ISD NO 2754

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ISD NO 2754
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:
1154427383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
306 N 1ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTEVIDEO
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56265-1406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
320-269-9243
Provider Business Mailing Address Fax Number:
320-269-7132

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 SUMMERVILLE AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGAN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56266-0188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-249-3106
Provider Business Practice Location Address Fax Number:
504-249-3149
Provider Enumeration Date:
09/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RITTER
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
Authorized Official Title or Position:
3RD PARTY BILLING ADMIN.
Authorized Official Telephone Number:
320-269-9243

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 347188800 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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