Dave Mack in Madison - Military Health Care Provider
Dave Mack - NPI 1376648154
Dave Mack is a Military Health Care Provider in Madison, Wisconsin. Dave Mack practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Dave Mack is 1376648154. The last update date is 2007-07-08.
Dave Mack's current location address is 1514 Drake St., Madison, Wisconsin. You can contact this provider via phone number 6082949922. The mailing address for Dave Mack is 1514 Drake St., Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dave Mack |
|---|---|
| Address | 1514 Drake St., Madison, Wisconsin |
| Phone Number | 6082949922 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376648154 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1514 Drake St. |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53711 |
| Phone Number | 6082949922 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
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Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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Post Comment/ Review Below
What is the unique identifier code issued to Dave Mack by the Centers for Medicare & Medicaid Services (CMS)?
The Dave Mack has been assigned the NPI (National Provider Identifier) 1376648154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dave Mack's facilities are geographically located?
The facilities of Dave Mack are physically situated at the following location: 1514 Drake St., Madison, WI, 53711.
What is Dave Mack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dave Mack's specialized field of practice is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of specialization is 171000000X.
On what date was the 1376648154 assigned to Dave Mack?
The Dave Mack was issued its 1376648154 on 2006-09-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dave Mack most recently updated or revised?
The information pertaining to Dave Mack, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.