1609159375 NPI number — RAMY CORPORATION

Table of content: (NPI 1609159375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609159375 NPI number — RAMY CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMY CORPORATION
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:
1609159375
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1756
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRETNA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70054-1756
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-417-3728
Provider Business Mailing Address Fax Number:
504-371-5320

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
252 HECTOR AVE STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRETNA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70056-2548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-417-3728
Provider Business Practice Location Address Fax Number:
504-372-2775
Provider Enumeration Date:
09/20/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINEZ
Authorized Official First Name:
MARY
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
504-417-3728

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: AETNA . This is a "AETNA FOR BETTER HEALTH" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: AMERI . This is a "AMERIHEALTH CARITAS LOUISIANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: LHC . This is a "LA. HEALTHCARE CONNECTIONS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: UHC . This is a "UNITED HEALTH COMMUNITY PLAN" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HB . This is a "HEALTHY BLUE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HUMAN . This is a "HUMANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: HUM . This is a "HUMANA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: MCAID , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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