1992783047 NPI number — MR. WILLIAM L SWARTLEY C.R.N.A.

Table of content: MR. WILLIAM L SWARTLEY C.R.N.A. (NPI 1992783047)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992783047 NPI number — MR. WILLIAM L SWARTLEY C.R.N.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWARTLEY
Provider First Name:
WILLIAM
Provider Middle Name:
L
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.A.
Provider Gender Code:
M

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:
1992783047
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 ACADEMY STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HESSTON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-327-2235
Provider Business Mailing Address Fax Number:
620-327-2235

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
520 S SANTA FE AVE
Provider Second Line Business Practice Location Address:
SUITE 260
Provider Business Practice Location Address City Name:
SALINA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67401-4190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-827-2238
Provider Business Practice Location Address Fax Number:
785-827-1684
Provider Enumeration Date:
01/07/2006

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: 367500000X , with the licence number:  54130 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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