1346778594 NPI number — NEW REFUGE COUNSELING CENTER

Table of content: AIMEE QUIGLEY R.N., IBCLC (NPI 1609302470)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346778594 NPI number — NEW REFUGE COUNSELING CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW REFUGE COUNSELING CENTER
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:
1346778594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12801 LITTLE ELLIOTT DR APT 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAGERSTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21742-2629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-702-4220
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12801 LITTLE ELLIOTT DR APT 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAGERSTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21742-2629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-702-4220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HANSELL
Authorized Official First Name:
JEANINE
Authorized Official Middle Name:
KATHARINE
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
304-702-4220

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: A6415343 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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