1326494766 NPI number — NORTHERN MARIANA ISLANDS GOVERNMENT

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 1326494766 NPI number — NORTHERN MARIANA ISLANDS GOVERNMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN MARIANA ISLANDS GOVERNMENT
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:
1326494766
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7068
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAIPAN
Provider Business Mailing Address State Name:
MP
Provider Business Mailing Address Postal Code:
96950-7068
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
670-664-9136
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
STATION 1 TEKKEN DRIVE CIVIC CENTER SUSUPE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-664-9136
Provider Business Practice Location Address Fax Number:
670-664-9015
Provider Enumeration Date:
05/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
NORITA
Authorized Official First Name:
CLAUDIO
Authorized Official Middle Name:
K
Authorized Official Title or Position:
COMMISSIONER
Authorized Official Telephone Number:
670-664-9136

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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