1588129720 NPI number — PENDER CARE CENTRE DISTRICT INC

Table of content: (NPI 1588129720)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588129720 NPI number — PENDER CARE CENTRE DISTRICT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PENDER CARE CENTRE DISTRICT 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:
WEST POINT APOTHECARY
Provider Other Organization Name Type Code:
3
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:
1588129720
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 628
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENDER
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68047-0628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-385-3350
Provider Business Mailing Address Fax Number:
402-385-0155

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
303 PLAZA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST POINT
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68788-2611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-372-1034
Provider Business Practice Location Address Fax Number:
402-385-0155
Provider Enumeration Date:
02/01/2019

Additional Information

Authorized Official

Authorized Official Last Name:
GAMBLE
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
402-385-3083

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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