1902844111 NPI number — ANCILLARY MANAGEMENT SOLUTIONS, INC.

Table of content: (NPI 1902844111)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902844111 NPI number — ANCILLARY MANAGEMENT SOLUTIONS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANCILLARY MANAGEMENT SOLUTIONS, 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:
1902844111
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
720 COOL SPRINGS BLVD
Provider Second Line Business Mailing Address:
SUITE 600
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37067-2626
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-771-8839
Provider Business Mailing Address Fax Number:
615-771-8849

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 COOL SPRINGS BLVD
Provider Second Line Business Practice Location Address:
SUITE 600
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37067-2626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-771-8839
Provider Business Practice Location Address Fax Number:
615-771-8849
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HIRSCH
Authorized Official First Name:
THEODORE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
VP OF OPERATIONS
Authorized Official Telephone Number:
615-771-8839

Provider Taxonomy Codes

  • Taxonomy code: 332BN1400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 06856901 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 117744300 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30766058 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02622159 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 154418716 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 694800600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 146352301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9053562 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00125970 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00948714A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0122238 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0550822 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1144151 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1454149 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 592473100 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 626008304 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 807103100 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90004458 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: AM47665 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: DME03057F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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