1316930639 NPI number — ALTERNATE MEDICAL SUPPLY CO., INC.

Table of content: REBECCA ANN RAMMER MSN, CNP (NPI 1639811219)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316930639 NPI number — ALTERNATE MEDICAL SUPPLY CO., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATE MEDICAL SUPPLY CO., 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:
6
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:
1316930639
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
180 ORVILLE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOHEMIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11716-2546
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-585-5000
Provider Business Mailing Address Fax Number:
631-585-5512

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
180 ORVILLE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOHEMIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11716-2546
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-585-5000
Provider Business Practice Location Address Fax Number:
631-585-5512
Provider Enumeration Date:
08/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RICCIO
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERVISOR
Authorized Official Telephone Number:
631-585-5000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 01526970 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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