1609833615 NPI number — EMERGENCY CARE INC.

Table of content: (NPI 1609833615)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609833615 NPI number — EMERGENCY CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EMERGENCY CARE 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:
ECI
Provider Other Organization Name Type Code:
5
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:
1609833615
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 22063
Provider Second Line Business Mailing Address:
DEPT 0491
Provider Business Mailing Address City Name:
TULSA
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74121-2063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-751-4664
Provider Business Mailing Address Fax Number:
405-749-4561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6161 S YALE AVE
Provider Second Line Business Practice Location Address:
ER DEPT.
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74136-1902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-494-1817
Provider Business Practice Location Address Fax Number:
405-749-4561
Provider Enumeration Date:
04/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARR
Authorized Official First Name:
DEAN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR/CFO
Authorized Official Telephone Number:
918-665-1520

Provider Taxonomy Codes

  • Taxonomy code: 261QM2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 100730050C , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 602880700 . This is a "DEPT OF LABOR" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 100730050B , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100730050A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com