1326143124 NPI number — BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326143124 NPI number — BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FRESENIUS MEDICAL CARE OF TAMAQUA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326143124
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1215 E. BROAD ST.
Provider Second Line Business Mailing Address:
TAMAQUA PLAZA SHOPPING CENTER,RTE 209 SOUTH
Provider Business Mailing Address City Name:
TAMAQUA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18252-2229
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-668-6494
Provider Business Mailing Address Fax Number:
570-668-6499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1215 E. BROAD ST.
Provider Second Line Business Practice Location Address:
TAMAQUA PLAZA SHOPPING CENTER,RTE 209 SOUTH
Provider Business Practice Location Address City Name:
TAMAQUA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18252-2229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-668-6494
Provider Business Practice Location Address Fax Number:
570-668-6499
Provider Enumeration Date:
09/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FAWCETT
Authorized Official First Name:
MARK
Authorized Official Middle Name:
R
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
781-699-9000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)