1538250253 NPI number — TURNBULL ENTERPRISES INCORPERATED

Table of content: (NPI 1538250253)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538250253 NPI number — TURNBULL ENTERPRISES INCORPERATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TURNBULL ENTERPRISES INCORPERATED
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:
HOME MEDICAL SERVICES
Provider Other Organization Name Type Code:
3
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:
1538250253
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:
2103 CORNING AVE STE A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARSONS
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67357-4056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-421-4239
Provider Business Mailing Address Fax Number:
620-421-6404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2103 CORNING AVE STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARSONS
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67357-4056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-421-4239
Provider Business Practice Location Address Fax Number:
620-421-6404
Provider Enumeration Date:
09/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEEL
Authorized Official First Name:
JACQUOLIN
Authorized Official Middle Name:
DARLINE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
620-421-4239

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 048141 . This is a "BLUE CROSS SUPPLIER NUMBE" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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