Provider Demographics
NPI:1790123214
Name:LINDE HEALTHCARE
Entity Type:Organization
Organization Name:LINDE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-863-2870
Mailing Address - Street 1:218 WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:FORT KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-4512
Mailing Address - Country:US
Mailing Address - Phone:502-378-0462
Mailing Address - Fax:
Practice Address - Street 1:218 WILLOW AVE
Practice Address - Street 2:
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-4512
Practice Address - Country:US
Practice Address - Phone:502-378-0462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX740228163WG0000X
TX2012020488251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty