1669453122 NPI number — SHREWSBURY CITY CLERK

Table of content: (NPI 1669453122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669453122 NPI number — SHREWSBURY CITY CLERK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHREWSBURY CITY CLERK
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:
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:
1669453122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4400 SHREWSBURY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SHREWSBURY
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63119-2815
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-645-5077
Provider Business Mailing Address Fax Number:
314-645-3873

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4400 SHREWSBURY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SHREWSBURY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63119-2815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-645-5077
Provider Business Practice Location Address Fax Number:
314-645-3873
Provider Enumeration Date:
11/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
FOX
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
P
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
314-645-5077

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  189367 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 590013968 . This is a "RAILROAD MEDICARE PROV. #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 124965 . This is a "BCBS PROVIDER NO." identifier . This identifiers is of the category "OTHER".
  • Identifier: 33277 . This is a "GHP PROVIDER NO." identifier . This identifiers is of the category "OTHER".
  • Identifier: 420212 . This is a "HEALTHLINK PROVIDER NO." identifier . This identifiers is of the category "OTHER".
  • Identifier: 804959104 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8100203 . This is a "UNITED HEALTHCARE PROV #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 18440 . This is a "HEALTHCAREUSA PROVIDER NO" identifier , issued by the state of ( MO ) . This identifiers is of the category "OTHER".




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