Provider Demographics
NPI:1689398786
Name:NIE HEALTH INC
Entity Type:Organization
Organization Name:NIE HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:IDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MTANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-922-0088
Mailing Address - Street 1:100 CUMMINGS CTR STE 235C
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6126
Mailing Address - Country:US
Mailing Address - Phone:978-922-0088
Mailing Address - Fax:978-922-0422
Practice Address - Street 1:100 CUMMINGS CTR STE 235C
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6126
Practice Address - Country:US
Practice Address - Phone:978-922-0088
Practice Address - Fax:978-922-0422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service