1386745396 NPI number — ALPINAIRE HEALTHCARE, INC

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 1386745396 NPI number — ALPINAIRE HEALTHCARE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALPINAIRE HEALTHCARE, INC
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:
1386745396
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2937
Provider Second Line Business Mailing Address:
1915 AIRPORT RD STE 101
Provider Business Mailing Address City Name:
BRECKENRIDGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80424-2937
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-453-8423
Provider Business Mailing Address Fax Number:
970-453-8417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1915 AIRPORT RD
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
BRECKENRIDGE
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-453-8423
Provider Business Practice Location Address Fax Number:
970-453-8417
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PENEGOR
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
970-453-8423

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 09407367 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com