NPI Code Detail JSON Logo

1700602513 NPI number — PACE HEALTH SERVICES, INC.

NPI Number: 1700602513
Health Care Provider/Practitioner: PACE HEALTH SERVICES, INC.

Information about “1700602513” NPI (PACE HEALTH SERVICES, INC.) exists in 1700602513 in HTML format HTML  |  1700602513 in plain Text format TXT  |  1700602513 in PDF (Portable Document Format) PDF  |  1700602513 in an XML format XML  formats.

NPI Number : 1700602513 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700602513",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PACE HEALTH SERVICES, INC.",
    "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": "820 FESSLERS PKWY STE 315",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NASHVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37210-2938",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "615-214-3777",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9165 UNIVERSITY BLVD STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH CHARLESTON",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29406-7133",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "843-300-3593",
    "PracticeLocationAddressFaxNumber": "843-747-3055",
    "EnumerationDate": "11/26/2024",
    "LastUpdateDate": "01/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MACDONALD",
    "AuthorizedOfficialFirstName": "THEODORE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-214-3777",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "224P00000X",
          "TaxonomyName": "Prosthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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