Organization Active NPI

Ashlar Professional

  • Clinic/Center
  • Poplar Bluff, MO
National Provider Identifier
1497938658
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ASHLAR PROFESSIONAL
Practice address
1908 Greenwood Dr Ste B
Poplar Bluff, MO 63901-2430
Phone
(573) 785-8766
Fax
(573) 785-8769
NPI assigned
Dec 11, 2007
Organization subpart
Yes
Parent organization
ASHLAR PROFESSIONAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cynthia M Linville
Title
Coo/Director of Operations
Phone
(573) 785-8766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1908 Greenwood Dr Ste B
Poplar Bluff, MO 63901-2430

Mailing address

816 University Parkway
Natchitoches, LA 71457
Phone (318) 352-8075

National Provider Directory

National Provider Directory
Tax ID family
Eurotele LLC2 organizations share this tax ID, including this one
Part of
Eurotele LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1908 Greenwood Dr
Ste B
Poplar Bluff, MO 63901
Phone (573) 778-1199

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1497938658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 UNIVERSITY PARKWAY",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "71457",
            "telephone_number": "318-352-8075",
            "fax_number": "318-357-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 GREENWOOD DR STE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-785-8766",
            "fax_number": "573-785-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAR PROFESSIONAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLAR PROFESSIONAL GROUP",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "573-785-8766"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.