1578546750 NPI number — PLAINS HEART INSTITUTE, L.L.C.

Table of content: PETER J. LEVONIAN M.S. (NPI 1396728572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578546750 NPI number — PLAINS HEART INSTITUTE, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLAINS HEART INSTITUTE, L.L.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:
1578546750
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3219 CENTRAL AVE
Provider Second Line Business Mailing Address:
SUITE 250
Provider Business Mailing Address City Name:
KEARNEY
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68847-2949
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
308-865-2263
Provider Business Mailing Address Fax Number:
308-865-2541

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3219 CENTRAL AVE
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
KEARNEY
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68847-2949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-865-2263
Provider Business Practice Location Address Fax Number:
308-865-2541
Provider Enumeration Date:
11/22/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SPEICHER
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
308-865-2263

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com