1952536559 NPI number — SPIRIT REINS EQUINE CENTER, INC. 501(C)(3)

Table of content: (NPI 1952536559)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952536559 NPI number — SPIRIT REINS EQUINE CENTER, INC. 501(C)(3)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPIRIT REINS EQUINE CENTER, INC. 501(C)(3)
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:
1952536559
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 98
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISONBURG
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71340-0098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-312-2294
Provider Business Mailing Address Fax Number:
318-744-5368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4698 HIGHWAY 8
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71340-1801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-312-2294
Provider Business Practice Location Address Fax Number:
318-744-5368
Provider Enumeration Date:
05/26/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BORNE
Authorized Official First Name:
ANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
318-312-2294

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  4723 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com