1952356826 NPI number — NORTH AMERICAN TECHNOLOGY SERVICES, INC.

Table of content: (NPI 1952356826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952356826 NPI number — NORTH AMERICAN TECHNOLOGY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH AMERICAN TECHNOLOGY SERVICES, 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:
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:
1952356826
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4711 34TH ST N UNIT C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33714-3060
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-545-4288
Provider Business Mailing Address Fax Number:
727-544-8530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4711 34TH ST N UNIT C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33714-3060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-545-4288
Provider Business Practice Location Address Fax Number:
727-544-8530
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
OBERDING
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
727-545-4288

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  PH16487 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4483934 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90756258 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1554502 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90004920 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2317264 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8945896 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00944237A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2423040 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1948680 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 524447 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 77385 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9981710 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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