1780619064 NPI number — CITIZEN ADVOCATES, INC

Table of content: (NPI 1780619064)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780619064 NPI number — CITIZEN ADVOCATES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITIZEN ADVOCATES, 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:
6
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:
1780619064
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/09/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 608
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MALONE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12953-0608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-483-1251
Provider Business Mailing Address Fax Number:
518-483-2242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MALONE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12953-1246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-483-1251
Provider Business Practice Location Address Fax Number:
518-483-2242
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARNEY
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CREDENTIALING MANAGER
Authorized Official Telephone Number:
518-651-2302

Provider Taxonomy Codes

  • Taxonomy code: 261QD1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01303777 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01905944 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00706818 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01111260 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942425 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942443 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02129702 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00947315 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01386410 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01155215 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02039623 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02067825 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00942434 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01491249 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01736910 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01750554 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02281203 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00949697 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01859425 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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