1407995210 NPI number — ACSR, INC.

Table of content: (NPI 1407995210)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407995210 NPI number — ACSR, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACSR, 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:
1407995210
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:
400 REDLAND CT
Provider Second Line Business Mailing Address:
SUITE 114
Provider Business Mailing Address City Name:
OWINGS MILLS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21117-3270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-548-2200
Provider Business Mailing Address Fax Number:
443-548-2260

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 OAK HILL RD
Provider Second Line Business Practice Location Address:
OAKHILL CENTER
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42503-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-676-0808
Provider Business Practice Location Address Fax Number:
606-677-2775
Provider Enumeration Date:
02/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BALDOCK
Authorized Official First Name:
KRIS
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
CHAIRMAN, CEO, PRESIDENT
Authorized Official Telephone Number:
443-548-2201

Provider Taxonomy Codes

  • Taxonomy code: 261QR0401X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9100000000 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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