1871669903 NPI number — FRANCISCAN LIFE CENTER NETWORK

Table of content: (NPI 1871669903)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871669903 NPI number — FRANCISCAN LIFE CENTER NETWORK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANCISCAN LIFE CENTER NETWORK
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:
1871669903
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/27/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2955
Provider Second Line Business Mailing Address:
1745 POCATELLO CREEK
Provider Business Mailing Address City Name:
POCATELLO
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-233-9383
Provider Business Mailing Address Fax Number:
208-233-2707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1745 POCATELLO CREEK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POCATELLO
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-233-9383
Provider Business Practice Location Address Fax Number:
208-233-2707
Provider Enumeration Date:
11/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MOLLER
Authorized Official First Name:
MARY
Authorized Official Middle Name:
PAUL
Authorized Official Title or Position:
MARRIAGE &FAMILY THERAPIST
Authorized Official Telephone Number:
208-233-9383

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2025 www.npivalidator.com