1881722437 NPI number — CRITERION CHILD ENRICHMENT, INC.

Table of content: (NPI 1881722437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881722437 NPI number — CRITERION CHILD ENRICHMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CRITERION CHILD ENRICHMENT, 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:
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:
1881722437
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
345 FORTUNE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MILFORD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01757-1723
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-473-3422
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
345 FORTUNE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01757-1723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-473-3422
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LITTLETON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
F
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-478-2631

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 20097 . This is a "BMC HEALTHNET INS." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 435280 . This is a "HEALTH SOURCE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1803409 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1803794 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: EI0006 . This is a "BCBS OF MASS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 603915 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 15427 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1800949 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1803808 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8304658 . This is a "AETNA INSURANCE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 988066 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0009398 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 716484 . This is a "TUFTS ASSOCIATED HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 80256 . This is a "FALLON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1803816 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0114656 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1800884 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1803336 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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