1861892101 NPI number — TRUE ACCOUNTABILITY, LLC

Table of content: (NPI 1861892101)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861892101 NPI number — TRUE ACCOUNTABILITY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUE ACCOUNTABILITY, 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:
1861892101
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
637 W HILLSIDE AVE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
PRESCOTT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86301-1909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-994-3751
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
637 W HILLSIDE AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
PRESCOTT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86301-1909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-994-3751
Provider Business Practice Location Address Fax Number:
800-994-3751
Provider Enumeration Date:
08/22/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STRUVE
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
800-994-3751

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X , with the licence number:  OTC6755 ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0405X , with the licence number: OTC6755 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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