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1508036161 NPI number — AUGUST HEALTHCARE GROUP, LLC

NPI Number: 1508036161
Health Care Provider/Practitioner: AUGUST HEALTHCARE GROUP, LLC

Information about “1508036161” NPI (AUGUST HEALTHCARE GROUP, LLC) exists in 1508036161 in HTML format HTML  |  1508036161 in plain Text format TXT  |  1508036161 in PDF (Portable Document Format) PDF  |  1508036161 in an XML format XML  formats.

NPI Number : 1508036161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508036161",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AUGUST HEALTHCARE GROUP, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 500173",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAIPAN",
    "MailingAddressStateName": "MP",
    "MailingAddressPostalCode": "96950-0173",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "670-233-4582",
    "MailingAddressFaxNumber": "670-233-4584",
    "FirstLinePracticeLocationAddress": "1 FIESTA BLDG",
    "SecondLinePracticeLocationAddress": "BEACH ROAD GARAPAN",
    "PracticeLocationAddressCityName": "SAIPAN",
    "PracticeLocationAddressStateName": "MP",
    "PracticeLocationAddressPostalCode": "96950",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "670-233-4582",
    "PracticeLocationAddressFaxNumber": "670-233-4584",
    "EnumerationDate": "03/10/2008",
    "LastUpdateDate": "09/13/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SANTOS",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MPH",
    "AuthorizedOfficialTelephoneNumber": "670-483-7667",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343800000X",
          "TaxonomyName": "Secured Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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