NPI Code Detail JSON Logo

1588627608 NPI number — DAVBO CO LLC

NPI Number: 1588627608
Health Care Provider/Practitioner: DAVBO CO LLC

Information about “1588627608” NPI (DAVBO CO LLC) exists in 1588627608 in HTML format HTML  |  1588627608 in plain Text format TXT  |  1588627608 in PDF (Portable Document Format) PDF  |  1588627608 in an XML format XML  formats.

NPI Number : 1588627608 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588627608",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DAVBO CO 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": "2895 W E ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH PLATTE",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "69101-1814",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-534-1900",
    "MailingAddressFaxNumber": "308-534-6477",
    "FirstLinePracticeLocationAddress": "2895 W E ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH PLATTE",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "69101-1814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "308-534-1900",
    "PracticeLocationAddressFaxNumber": "308-534-6477",
    "EnumerationDate": "04/10/2006",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DEWITT",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": "P",
    "AuthorizedOfficialTitle": "ACCOUNTS RECEIVABLE",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "605-217-6000",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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