Provider Demographics
NPI:1356470926
Name:HASTEN SYSTEMS, LLC
Entity Type:Organization
Organization Name:HASTEN SYSTEMS, LLC
Other - Org Name:HASTEN SYSTEMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-622-2765
Mailing Address - Street 1:PO BOX 11224
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28404-1224
Mailing Address - Country:US
Mailing Address - Phone:336-272-2267
Mailing Address - Fax:336-272-2260
Practice Address - Street 1:6618 WINDINGWOOD LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9788
Practice Address - Country:US
Practice Address - Phone:910-622-2765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC333300000X, 333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408302Medicaid