1528105681 NPI number — HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC.

Table of content: (NPI 1528105681)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528105681 NPI number — HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, 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:
1528105681
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 259
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DUFFIELD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24244-0259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-523-2315
Provider Business Mailing Address Fax Number:
276-523-7015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RR 1 BOX 136
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUFFIELD
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24244-9622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-523-2315
Provider Business Practice Location Address Fax Number:
276-523-7015
Provider Enumeration Date:
01/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DOTSON
Authorized Official First Name:
NEWL
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
EXEUCTIVE DIRECTOR
Authorized Official Telephone Number:
276-523-2315

Provider Taxonomy Codes

  • Taxonomy code: 103TC2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2084P0804X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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





Copyright © 2007-2025 www.npivalidator.com