Provider Demographics
NPI:1851549133
Name:INTEL CORPORATION
Entity Type:Organization
Organization Name:INTEL CORPORATION
Other - Org Name:INTEL HEALTH FOR LIFE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:L
Authorized Official - Last Name:TWYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:216-589-9400
Mailing Address - Street 1:1375 E 9TH ST
Mailing Address - Street 2:25TH FLOOR
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1739
Mailing Address - Country:US
Mailing Address - Phone:216-589-9400
Mailing Address - Fax:216-589-9445
Practice Address - Street 1:5000 W CHANDLER BLVD
Practice Address - Street 2:MAIL STOP: CH3-17
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-3601
Practice Address - Country:US
Practice Address - Phone:216-344-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUMMER WHOLE HEALTH MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-29
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site