1326275181 NPI number — US DEPT OF THE INTERIOR NATIONAL PARK SERVICE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326275181 NPI number — US DEPT OF THE INTERIOR NATIONAL PARK SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
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:
1326275181
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
555 S STATE ROUTE 64
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
WILLIAMS
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86046-5013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-679-2171
Provider Business Mailing Address Fax Number:
866-248-1073

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
#53 MAINTENANCE LOADING DOCK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MESA VERDE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81330-0008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-529-4621
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
FARIAS
Authorized Official First Name:
JESSIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF RANGER
Authorized Official Telephone Number:
970-529-4641

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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