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1790583664 NPI number — ALBERTSONS HEALTH LLC

NPI Number: 1790583664
Health Care Provider/Practitioner: ALBERTSONS HEALTH LLC

Information about “1790583664” NPI (ALBERTSONS HEALTH LLC) exists in 1790583664 in HTML format HTML  |  1790583664 in plain Text format TXT  |  1790583664 in PDF (Portable Document Format) PDF  |  1790583664 in an XML format XML  formats.

NPI Number : 1790583664 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790583664",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ALBERTSONS HEALTH 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": "250 E PARKCENTER BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BOISE",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83706-3940",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "415-713-5652",
    "MailingAddressFaxNumber": "623-869-1840",
    "FirstLinePracticeLocationAddress": "250 E PARKCENTER BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOISE",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83706-3940",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-713-5652",
    "PracticeLocationAddressFaxNumber": "623-869-1840",
    "EnumerationDate": "03/05/2025",
    "LastUpdateDate": "12/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LAVELLE",
    "AuthorizedOfficialFirstName": "MARGARET",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SENIOR PROGRAM MANAGER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "510-695-5876",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174200000X",
          "TaxonomyName": "Meals Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332U00000X",
          "TaxonomyName": "Home Delivered Meals",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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