1275716425 NPI number — FIRST MOUNTAIN STAR INJURY CLINIC

Table of content: (NPI 1275716425)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275716425 NPI number — FIRST MOUNTAIN STAR INJURY CLINIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FIRST MOUNTAIN STAR INJURY CLINIC
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:
1275716425
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/11/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5630 GATEWAY BLVD E
Provider Second Line Business Mailing Address:
STE. 5-E
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79905-1748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-781-7827
Provider Business Mailing Address Fax Number:
915-781-0884

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5630 GATEWAY BLVD E
Provider Second Line Business Practice Location Address:
STE. 5-E
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79905-1748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-781-7827
Provider Business Practice Location Address Fax Number:
915-781-0884
Provider Enumeration Date:
12/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ARCHULETA
Authorized Official First Name:
ART
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
915-781-7827

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  4847 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: 9245 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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