1689658965 NPI number — NURSES UNLIMITED INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689658965 NPI number — NURSES UNLIMITED INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NURSES UNLIMITED 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:
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:
1689658965
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/06/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
02/13/2007
NPI Reactivation Date:
07/31/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4534
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ODESSA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79760-4534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
432-580-2085
Provider Business Mailing Address Fax Number:
432-580-2080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3303 N 3RD ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-673-3281
Provider Business Practice Location Address Fax Number:
325-673-4059
Provider Enumeration Date:
12/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RILEY-KRAMP
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
432-580-2000

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  003467 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000044400 . This is a "PHC TDADS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001002002 . This is a "MDCP TDADS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000695500 . This is a "CBA TDADS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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