1578697660 NPI number — EASTSIDE VENTURES INC.

Table of content: (NPI 1578697660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578697660 NPI number — EASTSIDE VENTURES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTSIDE VENTURES 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:
1578697660
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 GILBREATH DR
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
ONEONTA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35121-2827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-274-3055
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 GILBREATH DR
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
ONEONTA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35121-2827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-274-3055
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PARKS
Authorized Official First Name:
VICKI
Authorized Official Middle Name:
H
Authorized Official Title or Position:
CHIEF ACCOUNTING OFFICER
Authorized Official Telephone Number:
205-838-3718

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 529926850 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: I303 . This is a "MEDICARE PT B" identifier . This identifiers is of the category "OTHER".




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