1144337676 NPI number — RICHARD W HEMPSTEAD MD PA

Table of content: (NPI 1144337676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144337676 NPI number — RICHARD W HEMPSTEAD MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD W HEMPSTEAD MD PA
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:
1144337676
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
509 S MAIN STREET
Provider Second Line Business Mailing Address:
STE B
Provider Business Mailing Address City Name:
LAS CRUCES
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88001-1260
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-532-7000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
509 S MAIN STREET
Provider Second Line Business Practice Location Address:
STE B
Provider Business Practice Location Address City Name:
LAS CRUCES
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88001-1260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-525-0505
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HEMPSTEAD
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
575-532-7000

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 94888566 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: NM001245 . This is a "BCBS OF NM" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 010009295 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com