1487781985 NPI number — UNIVERSITY PRIMARY CARE PRACTICES INC

Table of content: (NPI 1487781985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487781985 NPI number — UNIVERSITY PRIMARY CARE PRACTICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY PRIMARY CARE PRACTICES 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:
1487781985
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8792
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELFAST
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04915-8792
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-743-8130
Provider Business Mailing Address Fax Number:
440-743-8131

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
303 E ROYALTON RD
Provider Second Line Business Practice Location Address:
STE 202
Provider Business Practice Location Address City Name:
BROADVIEW HTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44147-2591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-743-8130
Provider Business Practice Location Address Fax Number:
440-743-8131
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MEGARIAN
Authorized Official First Name:
CLIFF
Authorized Official Middle Name:
Authorized Official Title or Position:
UHPS PRESIDENT
Authorized Official Telephone Number:
216-844-5500

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of OH ; 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