1841568086 NPI number — CWM TRUST, LLC.

Table of content: (NPI 1841568086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841568086 NPI number — CWM TRUST, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CWM TRUST, 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:
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:
1841568086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/25/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 500087, CK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAIPAN
Provider Business Mailing Address State Name:
MP
Provider Business Mailing Address Postal Code:
96950-0087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
670-233-3647
Provider Business Mailing Address Fax Number:
670-233-3647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
#6 GUALO RAI PLAZA, CHALAN PALE ARNOLD ROAD
Provider Second Line Business Practice Location Address:
SUITE #6
Provider Business Practice Location Address City Name:
SAIPAN
Provider Business Practice Location Address State Name:
MP
Provider Business Practice Location Address Postal Code:
96950-0087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
670-233-3647
Provider Business Practice Location Address Fax Number:
670-233-3647
Provider Enumeration Date:
12/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CARHILL
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINIC MANAGER
Authorized Official Telephone Number:
670-233-3647

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  0024 , registered in the state of MP ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com