1982108916 NPI number — AMY LYNN VANMETER

Table of content: AMY LYNN VANMETER (NPI 1982108916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982108916 NPI number — AMY LYNN VANMETER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VANMETER
Provider First Name:
AMY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BURBARK
Provider Other First Name:
AMY
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982108916
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/18/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 HANCOCK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAGINAW
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48602-4224
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-797-3400
Provider Business Mailing Address Fax Number:
989-799-0206

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SAGINAW COUNTY MENTAL HEALTH
Provider Second Line Business Practice Location Address:
500 HANCOCK STREET
Provider Business Practice Location Address City Name:
SAGINAW
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48602-4224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-797-3400
Provider Business Practice Location Address Fax Number:
989-733-0206
Provider Enumeration Date:
03/23/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 175T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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