1386926459 NPI number — KATEE L RINEHART

Table of content: KATEE L RINEHART (NPI 1386926459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386926459 NPI number — KATEE L RINEHART

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINEHART
Provider First Name:
KATEE
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
KATEE
Provider Other Middle Name:
L
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1386926459
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 N 7TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17046-5040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-273-1710
Provider Business Mailing Address Fax Number:
717-273-1416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 E SPRINGETTSBURY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-3213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-6800
Provider Business Practice Location Address Fax Number:
717-846-0005
Provider Enumeration Date:
09/15/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103K00000X , with the licence number: BH003472 , 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)