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1609166438 NPI number — BRIDGES

NPI Number: 1609166438
Health Care Provider/Practitioner: BRIDGES

Information about “1609166438” NPI (BRIDGES) exists in 1609166438 in HTML format HTML  |  1609166438 in plain Text format TXT  |  1609166438 in PDF (Portable Document Format) PDF  |  1609166438 in an XML format XML  formats.

NPI Number : 1609166438 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609166438",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BRIDGES",
    "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": "2420 KURT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BENTON HARBOR",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49022",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "269-252-6857",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2420 KURT RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BENTON HARBOR",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49022-8013",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "269-252-6857",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/13/2011",
    "LastUpdateDate": "04/13/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DRAKE",
    "AuthorizedOfficialFirstName": "CHASITY",
    "AuthorizedOfficialMiddleName": "BRITTANY",
    "AuthorizedOfficialTitle": "C.O/DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RMA",
    "AuthorizedOfficialTelephoneNumber": "269-252-6857",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251G00000X",
          "TaxonomyName": "Community Based Hospice Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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