1386867513 NPI number — BELL CLUB,INC.

Table of content: (NPI 1386867513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386867513 NPI number — BELL CLUB,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BELL CLUB,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:
1386867513
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
160 SOUTH GEORGE STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17401-1408
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-848-5767
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 CEDAR STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED LION
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-244-0354
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HILEMAN
Authorized Official First Name:
IVAN
Authorized Official Middle Name:
G
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
717-848-5767

Provider Taxonomy Codes

  • Taxonomy code: 320900000X , with the licence number:  335540 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1000050910006 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910038 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910007 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910015 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910009 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910016 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910020 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910008 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910039 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910017 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910018 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910026 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910011 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000050910037 . This is a "PROMISE ID NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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