1427042803 NPI number — EHLERS INC.

Table of content: (NPI 1427042803)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427042803 NPI number — EHLERS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EHLERS 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:
1427042803
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50833-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-523-3331
Provider Business Mailing Address Fax Number:
712-523-2188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
608 COURT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50833-1303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-523-3331
Provider Business Practice Location Address Fax Number:
712-523-2188
Provider Enumeration Date:
08/31/2005

Additional Information

Authorized Official

Authorized Official Last Name:
EHLERS
Authorized Official First Name:
DIXIE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER, SEC'Y/TREASURER
Authorized Official Telephone Number:
712-523-3331

Provider Taxonomy Codes

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

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

  • Identifier: 626136105 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1-87-004105 . This is a "STATE SALES TAX PERMIT" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 100251486-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0426593 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 12549 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




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