1518345966 NPI number — AMERITA, INC.

Table of content: (NPI 1518345966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518345966 NPI number — AMERITA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERITA, 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:
1518345966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6912 S QUENTIN ST STE 50
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CENTENNIAL
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-4531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-282-5325
Provider Business Mailing Address Fax Number:
877-676-0493

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2709 OTIS CORLEY DR
Provider Second Line Business Practice Location Address:
SUITE 19
Provider Business Practice Location Address City Name:
BENTONVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72712-3864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-250-9114
Provider Business Practice Location Address Fax Number:
844-793-1334
Provider Enumeration Date:
05/18/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SILOLAHTI
Authorized Official First Name:
MELINDA
Authorized Official Middle Name:
Authorized Official Title or Position:
SVP MANAGED CARE CONTRACTING
Authorized Official Telephone Number:
720-282-2382

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336H0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 335G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: AR20806 . This is a "BOARD OF PHARMACY" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 0425276 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".