1881796142 NPI number — MCCREARY MEDICAL RESOURCES, LLC

Table of content: (NPI 1881796142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881796142 NPI number — MCCREARY MEDICAL RESOURCES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCCREARY MEDICAL RESOURCES, LLC
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:
1881796142
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1180
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITLEY CITY
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42653-1180
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-376-1551
Provider Business Mailing Address Fax Number:
606-376-1502

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 OAKS LN
Provider Second Line Business Practice Location Address:
SUITE 14
Provider Business Practice Location Address City Name:
WHITLEY CITY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-376-1551
Provider Business Practice Location Address Fax Number:
606-376-1502
Provider Enumeration Date:
09/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PENNINGTON
Authorized Official First Name:
JERRY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
606-376-1551

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 90006750 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000331701 . This is a "ANTHEM BCBS" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 45002458 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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