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1427658798 NPI number — MCAP BUCHANAN OPCO LLC

NPI Number: 1427658798
Health Care Provider/Practitioner: MCAP BUCHANAN OPCO LLC

Information about “1427658798” NPI (MCAP BUCHANAN OPCO LLC) exists in 1427658798 in HTML format HTML  |  1427658798 in plain Text format TXT  |  1427658798 in PDF (Portable Document Format) PDF  |  1427658798 in an XML format XML  formats.

NPI Number : 1427658798 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427658798",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MCAP BUCHANAN OPCO LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "809 CAROLL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BUCHANAN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49107-1738",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-591-9323",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "809 CAROLL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUCHANAN",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49107-1738",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-591-9323",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/27/2020",
    "LastUpdateDate": "10/27/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CURTISS",
    "AuthorizedOfficialFirstName": "MARCIA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "REGIONAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "269-591-9323",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "311500000X",
          "TaxonomyName": "Alzheimer Center (Dementia Center)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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