1740433663 NPI number — DAVID R MCCULLOUGH RN

Table of content: DAVID R MCCULLOUGH RN (NPI 1740433663)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740433663 NPI number — DAVID R MCCULLOUGH RN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCULLOUGH
Provider First Name:
DAVID
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN
Provider Gender Code:
M

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:
1740433663
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 80810
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87198-0810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-383-1143
Provider Business Mailing Address Fax Number:
505-841-8977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5901 ZUNI RD SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87108-3073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-383-1143
Provider Business Practice Location Address Fax Number:
585-841-8977
Provider Enumeration Date:
10/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  R30246 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: R30246 . This is a "SPECIAL HOSPITAL" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".




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