1356351175 NPI number — SLEEPCURES

Table of content: (NPI 1356351175)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356351175 NPI number — SLEEPCURES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEPCURES
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:
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:
1356351175
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
780 DEDHAM ST
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02021-1415
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-852-5433
Provider Business Mailing Address Fax Number:
781-575-0184

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
61 LINCOLN ST
Provider Second Line Business Practice Location Address:
STE 306
Provider Business Practice Location Address City Name:
FRAMINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01702-8264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-852-5433
Provider Business Practice Location Address Fax Number:
781-575-0184
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GUIDETTI
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
469-499-2857

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 65591 . This is a "FALLON COMMUNITY HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 691167 . This is a "TUFTS HEALTH PLAN DME" identifier . This identifiers is of the category "OTHER".
  • Identifier: SF039869 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2548724 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800892 . This is a "HARVARD PILGRIM HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: OD07471238 . This is a "AETNA NON-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0035180 . This is a "NEIGHBORHOOD HEALTH" identifier . This identifiers is of the category "OTHER".




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