1437660818 NPI number — PULMONARY CARE SERVICES INC

Table of content: (NPI 1437660818)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437660818 NPI number — PULMONARY CARE SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PULMONARY CARE SERVICES 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:
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:
1437660818
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
730 LEIGHTON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANNISTON
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36207-5746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-238-1444
Provider Business Mailing Address Fax Number:
256-238-8013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
217 DAVIS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BREMEN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30110-2569
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-821-8100
Provider Business Practice Location Address Fax Number:
678-821-8011
Provider Enumeration Date:
10/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
CASH
Authorized Official First Name:
CHELSEA
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
256-238-1444

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  229 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2025 www.npivalidator.com