1003146275 NPI number — TECHNICAL GAS PRODUCTS, INC

Table of content: (NPI 1003146275)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003146275 NPI number — TECHNICAL GAS PRODUCTS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TECHNICAL GAS PRODUCTS, 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:
Provider Other Organization Name Type Code:
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:
1003146275
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 N PLAINS INDUSTRIAL RD STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALLINGFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06492-5835
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-847-0745
Provider Business Mailing Address Fax Number:
203-234-2478

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1941 WILLIAMS RD
Provider Second Line Business Practice Location Address:
SUITE 9-B
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43207-5184
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-491-9390
Provider Business Practice Location Address Fax Number:
914-491-9392
Provider Enumeration Date:
01/11/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
800-847-0745

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  CSW.0001696 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: 4587 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: MA0086808 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 004217164 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30765096 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1532600 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".




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