1255704698 NPI number — BRN CORPORATION

Table of content: (NPI 1255704698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255704698 NPI number — BRN CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRN CORPORATION
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:
WHITTIER BRADFORD TRANSITIONAL CARE UNIT
Provider Other Organization Name Type Code:
3
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:
1255704698
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25 RAILROAD SQ
Provider Second Line Business Mailing Address:
SUITE 302
Provider Business Mailing Address City Name:
HAVERHILL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01832-5721
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-556-5809
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 WARD HILL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRADFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01835-6928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-372-8000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2015

Additional Information

Authorized Official

Authorized Official Last Name:
DURKIN
Authorized Official First Name:
ADRIA
Authorized Official Middle Name:
Authorized Official Title or Position:
PATIENT ACCOUNT MANAGER
Authorized Official Telephone Number:
978-556-5809

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com