1275802977 NPI number — CHEROKEE RESTORATION FELLOWSHIP

Table of content: (NPI 1275802977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275802977 NPI number — CHEROKEE RESTORATION FELLOWSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHEROKEE RESTORATION FELLOWSHIP
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:
1275802977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2469
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OROVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95965-2469
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-533-5429
Provider Business Mailing Address Fax Number:
530-533-2628

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
141 MONO AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95965-3309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-3663
Provider Business Practice Location Address Fax Number:
530-355-5360
Provider Enumeration Date:
12/26/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
DALLAS
Authorized Official Middle Name:
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
530-534-3663

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  040007BN , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com