1679576433 NPI number — CITY OF OROVILLE

Table of content: (NPI 1679576433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679576433 NPI number — CITY OF OROVILLE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF OROVILLE
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:
1679576433
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OROVILLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98844-2200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-476-2926
Provider Business Mailing Address Fax Number:
509-476-9067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1308 IRONWOOD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98844-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-476-2926
Provider Business Practice Location Address Fax Number:
509-476-9067
Provider Enumeration Date:
05/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
ROWTON
Authorized Official First Name:
DEANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING CLERK
Authorized Official Telephone Number:
509-476-2926

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  24X07 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 9425208 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 29929 . This is a "L & I PROVIDER NUMBER" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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