Provider Demographics
NPI:1376569764
Name:COMPUTER MANAGMENT CONSULTANTS, INC.
Entity Type:Organization
Organization Name:COMPUTER MANAGMENT CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KLOTZBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-738-2431
Mailing Address - Street 1:621 HICKORY AVE
Mailing Address - Street 2:
Mailing Address - City:HARAHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70123-3106
Mailing Address - Country:US
Mailing Address - Phone:504-738-2434
Mailing Address - Fax:504-738-2430
Practice Address - Street 1:621 HICKORY AVE
Practice Address - Street 2:
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-3106
Practice Address - Country:US
Practice Address - Phone:504-738-2434
Practice Address - Fax:504-738-2430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID #