1205889987 NPI number — COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC P C

Table of content: (NPI 1205889987)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205889987 NPI number — COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC P C
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:
1205889987
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4508 38TH STREET
Provider Second Line Business Mailing Address:
SUITE 133
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68601-1668
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-563-3644
Provider Business Mailing Address Fax Number:
402-564-5805

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4508 38TH STREET
Provider Second Line Business Practice Location Address:
SUITE 133
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-563-3644
Provider Business Practice Location Address Fax Number:
402-564-5805
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CIMPL
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
402-563-3644

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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