1699439422 NPI number — HOSPITAL CEMEQ

Table of content: (NPI 1699439422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699439422 NPI number — HOSPITAL CEMEQ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL CEMEQ
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:
1699439422
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HOSPITAL CEMEQ
Provider Second Line Business Mailing Address:
304 S. JONES BLVD #5822
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL CEMEQ
Provider Second Line Business Practice Location Address:
AV. EJERCITO MEXICANO 2207
Provider Business Practice Location Address City Name:
MAZATLAN
Provider Business Practice Location Address State Name:
SIN
Provider Business Practice Location Address Postal Code:
82010
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
669-985-0997
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2021

Additional Information

Authorized Official

Authorized Official Last Name:
UZUNA
Authorized Official First Name:
LUIZ ROBERTO
Authorized Official Middle Name:
TOGO
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
669-985-0997

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CHM-040601-U96 . This is a "STATE" identifier . This identifiers is of the category "OTHER".




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