1528129590 NPI number — HARDIN COUNTY SKILLS, IN.C

Table of content: MS. SIGRID ALLEN MS, RIMHC (NPI 1184127391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528129590 NPI number — HARDIN COUNTY SKILLS, IN.C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARDIN COUNTY SKILLS, IN.C
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:
1528129590
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 666
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38372-0666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-925-4039
Provider Business Mailing Address Fax Number:
731-925-5679

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
65 NORTHWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38372-1703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-925-4039
Provider Business Practice Location Address Fax Number:
731-925-5679
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROBINSON
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
731-925-4039

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  L3(20)4M3-066-6246 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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