1184814535 NPI number — HOUSING AUTHORITY OF THE CITY OF TERRE HAUTE

Table of content: (NPI 1184814535)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184814535 NPI number — HOUSING AUTHORITY OF THE CITY OF TERRE HAUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOUSING AUTHORITY OF THE CITY OF TERRE HAUTE
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:
1184814535
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 DREISER SQ
Provider Second Line Business Mailing Address:
P O BOX 3086
Provider Business Mailing Address City Name:
TERRE HAUTE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47807-4617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-232-1381
Provider Business Mailing Address Fax Number:
812-234-3300

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1885 N 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TERRE HAUTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47804-4068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-232-1381
Provider Business Practice Location Address Fax Number:
812-478-9974
Provider Enumeration Date:
07/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARDER
Authorized Official First Name:
PATRICK
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
812-232-1381

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com