1760943575 NPI number — PEGGY'S PLACE, LLC

Table of content: (NPI 1760943575)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760943575 NPI number — PEGGY'S PLACE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEGGY'S PLACE, LLC
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:
1760943575
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1730 AUDUBON DR STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ALBANY
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47150-3482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-590-2857
Provider Business Mailing Address Fax Number:
888-544-7301

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1730 AUDUBON DR STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ALBANY
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47150-3482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-590-2857
Provider Business Practice Location Address Fax Number:
888-544-7301
Provider Enumeration Date:
03/26/2019

Additional Information

Authorized Official

Authorized Official Last Name:
DIERS
Authorized Official First Name:
TRACY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
812-913-4308

Provider Taxonomy Codes

  • Taxonomy code: 261QA0600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: VA249-17-A-0044 . This is a "VETERAN'S AFFAIRS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 300006752 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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