1902175789 NPI number — OZ HOSPITAL CARE, LLC

Table of content: (NPI 1902175789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902175789 NPI number — OZ HOSPITAL CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OZ HOSPITAL CARE, 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:
1902175789
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24230 18TH PL W
Provider Second Line Business Mailing Address:
OZ HOSPITAL CARE, LLC, C/O ABDULLAH OZ
Provider Business Mailing Address City Name:
BOTHELL
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-286-6494
Provider Business Mailing Address Fax Number:
425-286-6494

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10631 8TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98125-7213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-286-6494
Provider Business Practice Location Address Fax Number:
425-286-6494
Provider Enumeration Date:
12/22/2011

Additional Information

Authorized Official

Authorized Official Last Name:
OZ
Authorized Official First Name:
ABDULLAH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
614-596-9697

Provider Taxonomy Codes

  • Taxonomy code: 208M00000X , with the licence number:  MD60162698 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1649258070 . This is a "PREVIOUSLY ASSIGNED NPI # (NOT GROUP NPI)" identifier . This identifiers is of the category "OTHER".




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