1194747279 NPI number — MRS. SHARON HOPE GREACEN MT(ASCP)

Table of content: MRS. SHARON HOPE GREACEN MT(ASCP) (NPI 1194747279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194747279 NPI number — MRS. SHARON HOPE GREACEN MT(ASCP)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREACEN
Provider First Name:
SHARON
Provider Middle Name:
HOPE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MT(ASCP)
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:
1194747279
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 997
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DULCE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87528-0997
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-749-4633
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12000 STONE LAKE DRIVE
Provider Second Line Business Practice Location Address:
LABORATORY
Provider Business Practice Location Address City Name:
DULCE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87528-0187
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-759-7218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2006

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: 246QL0900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HSZ196 . This is a "MEDICARE PART B" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 000K3526 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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