1215586748 NPI number — VICTORY COLLEGIATE ACADEMY CORP.

Table of content: (NPI 1215586748)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215586748 NPI number — VICTORY COLLEGIATE ACADEMY CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VICTORY COLLEGIATE ACADEMY CORP.
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:
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:
1215586748
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3838 N CENTRAL AVE STE 1600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85012-1950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-354-4881
Provider Business Mailing Address Fax Number:
602-926-2445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3535 N 63RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85033-4503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-810-9781
Provider Business Practice Location Address Fax Number:
623-926-2748
Provider Enumeration Date:
09/07/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GENTRY
Authorized Official First Name:
MICHELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
800-354-4881

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)





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