1447523451 NPI number — MRS. CATHERINE MARGRET MCGOWAN RN

Table of content: MRS. CATHERINE MARGRET MCGOWAN RN (NPI 1447523451)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447523451 NPI number — MRS. CATHERINE MARGRET MCGOWAN RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGOWAN
Provider First Name:
CATHERINE
Provider Middle Name:
MARGRET
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
F

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:
1447523451
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
128 FELTERS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BINGHAMTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13903-2739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-722-1145
Provider Business Mailing Address Fax Number:
607-722-1145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 CONKLIN ROAD
Provider Second Line Business Practice Location Address:
SUSQUEHANNA VALLEY CENTRAL SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
CONKLIN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-775-0170
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2012

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: 163W00000X , with the licence number:  2083021 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com