1962712224 NPI number — ROCHE HEALTH SOLUTIONS INC.

Table of content: (NPI 1962712224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962712224 NPI number — ROCHE HEALTH SOLUTIONS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCHE HEALTH 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:
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:
1962712224
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9115 HAGUE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46256-1025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-280-7801
Provider Business Mailing Address Fax Number:
888-810-0758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 CLOVE RD
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
LITTLE FALLS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07424-2138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-803-8936
Provider Business Practice Location Address Fax Number:
888-810-0758
Provider Enumeration Date:
10/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SHAFFER
Authorized Official First Name:
DENVER
Authorized Official Middle Name:
K
Authorized Official Title or Position:
DIRECTOR, ROCHE HEALTH SOLUTIONS
Authorized Official Telephone Number:
317-521-2000

Provider Taxonomy Codes

  • Taxonomy code: 293D00000X , with the licence number:  0105509540 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332B00000X , with the licence number: 0105509540 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 236589 . This is a "MEDICARE PTAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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