1720169154 NPI number — DINSMORE EMERGENCY ALERT SERVICE, INC.

Table of content: (NPI 1720169154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720169154 NPI number — DINSMORE EMERGENCY ALERT SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DINSMORE EMERGENCY ALERT SERVICE, 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:
1720169154
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
01/30/2008
NPI Reactivation Date:
09/24/2010

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1202 LAKEWAY DRIVE
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78734-9801
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
512-261-1222
Provider Business Mailing Address Fax Number:
512-261-1333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1202 LAKEWAY DRIVE
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78734-9801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-261-1222
Provider Business Practice Location Address Fax Number:
512-261-1333
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DINSMORE
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
512-261-1222

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  PP0115 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333300000X , with the licence number: PP0115 , 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: 000175400 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000655600 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000167000 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000176200 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000654700 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000662300 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000177600 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 000657600 . This is a "LONG TERM CARE PROVIDER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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