1194898171 NPI number — A-Z, INC.

Table of content: (NPI 1194898171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194898171 NPI number — A-Z, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A-Z, 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:
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:
1194898171
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 LOCUST ST.
Provider Second Line Business Mailing Address:
#6
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
24740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-487-2020
Provider Business Mailing Address Fax Number:
304-431-2020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 LOCUST ST.
Provider Second Line Business Practice Location Address:
#6
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-487-2020
Provider Business Practice Location Address Fax Number:
304-431-2020
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAWHORN
Authorized Official First Name:
ZANE
Authorized Official Middle Name:
RENE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
304-487-2020

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 410002961 . This is a "RR MEDICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 0151398000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: WV00756481 . This is a "FUNDS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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