1568583458 NPI number — BEST BUY HEALTH, INC.

Table of content: (NPI 1568583458)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568583458 NPI number — BEST BUY HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST BUY HEALTH, 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:
1568583458
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27475 MEADOWBROOK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NOVI
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48377-3532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-557-4462
Provider Business Mailing Address Fax Number:
800-325-5145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27475 MEADOWBROOK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NOVI
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48377-3532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-557-4462
Provider Business Practice Location Address Fax Number:
800-325-5145
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ROBERTSON
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATION/COMPLIANCE MANAGER
Authorized Official Telephone Number:
888-557-4462

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333300000X , with the licence number: 3601205334 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DE2924 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0785519 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1020077470004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 944787 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1568583458 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 692665700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 749113000 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 07-934-00 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3418425 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9000143467 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 16407955 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2317822 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2769731 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 38826534 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200848820A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 210353 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: H445275 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 105171300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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