1215348487 NPI number — REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC.

Table of content: (NPI 1215348487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215348487 NPI number — REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REGIONAL EMPLOYEE ASSISTANCE PROGRAM 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:
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:
1215348487
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 689022
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37068-9022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-581-1886
Provider Business Mailing Address Fax Number:
615-465-2900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2704 N GALLOWAY AVE
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
MESQUITE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75150-6378
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-660-2500
Provider Business Practice Location Address Fax Number:
214-660-2535
Provider Enumeration Date:
05/09/2014

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
P
Authorized Official Title or Position:
SR. DIRECTOR
Authorized Official Telephone Number:
615-465-7587

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of TX ; 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