1245363076 NPI number — THE MASTECTOMY CENTER

Table of content: (NPI 1245363076)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245363076 NPI number — THE MASTECTOMY CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE MASTECTOMY CENTER
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:
1245363076
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4201 S NOLAND RD
Provider Second Line Business Mailing Address:
SUITE I
Provider Business Mailing Address City Name:
INDEPENDENCE
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
64055-7313
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-373-3447
Provider Business Mailing Address Fax Number:
816-373-3447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4201 S NOLAND RD
Provider Second Line Business Practice Location Address:
SUITE I
Provider Business Practice Location Address City Name:
INDEPENDENCE
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64055-7313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-373-3447
Provider Business Practice Location Address Fax Number:
816-373-3447
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STRETZ
Authorized Official First Name:
DIXIE
Authorized Official Middle Name:
N
Authorized Official Title or Position:
CO OWNER
Authorized Official Telephone Number:
816-373-3447

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , with the licence number:  CFM01450 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 36532017 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".




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