1609853860 NPI number — VIEW POINT HEALTH

Table of content: (NPI 1609853860)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609853860 NPI number — VIEW POINT HEALTH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIEW POINT HEALTH
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:
1609853860
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
175 GWINNETT DR
Provider Second Line Business Mailing Address:
POST OFFICE BOX 687
Provider Business Mailing Address City Name:
LAWRENCEVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30046-8444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-339-5377
Provider Business Mailing Address Fax Number:
770-339-5016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 GWINNETT DR
Provider Second Line Business Practice Location Address:
POST OFFICE BOX 687
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30046-8444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-339-5377
Provider Business Practice Location Address Fax Number:
770-339-5016
Provider Enumeration Date:
12/29/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HIBBARD
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
678-209-2376

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 311ZA0620X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000618384U , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452K , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000849406K , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452H , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452J , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452N , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452Q , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599706A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452G , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452V , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452R , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00598452U , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599684A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00599805B , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".