1770623688 NPI number — ON-SIGHT CONTINENCE CARE LLC

Table of content: (NPI 1770623688)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770623688 NPI number — ON-SIGHT CONTINENCE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ON-SIGHT CONTINENCE CARE 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:
1770623688
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7396
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKY MOUNT
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27804-0396
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-985-1371
Provider Business Mailing Address Fax Number:
252-985-2303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
413 MILL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKY MOUNT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27804-4837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-985-1371
Provider Business Practice Location Address Fax Number:
252-985-2303
Provider Enumeration Date:
02/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FORBIS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
F
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
252-985-1371

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7004403 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: DG0073 . This is a "RAILROAD MEDICARE GROUP #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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