1609175686 NPI number — TOMORROW, LLC

Table of content: (NPI 1609175686)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609175686 NPI number — TOMORROW, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOMORROW, LLC
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:
1609175686
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 128
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PILLAGER
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56473-0128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-720-7775
Provider Business Mailing Address Fax Number:
218-746-8306

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
810 4TH AVE S
Provider Second Line Business Practice Location Address:
SUITE 152
Provider Business Practice Location Address City Name:
MOORHEAD
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56560-2800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-287-1500
Provider Business Practice Location Address Fax Number:
218-287-1267
Provider Enumeration Date:
03/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ZEIDNER
Authorized Official First Name:
LEWIS
Authorized Official Middle Name:
P
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
763-245-8278

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  1044799-4-CDT , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5J83AN . This is a "BLUE CROSS" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com