1326094905 NPI number — TRUMED INCORPORATED

Table of content: (NPI 1316177926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326094905 NPI number — TRUMED INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRUMED INCORPORATED
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:
1326094905
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
528 NEWTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FALL RIVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02721-2366
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-675-1522
Provider Business Mailing Address Fax Number:
508-676-5647

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
528 NEWTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALL RIVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02721-2366
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-675-1522
Provider Business Practice Location Address Fax Number:
508-676-5647
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MEDEIROS
Authorized Official First Name:
DEBBY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
508-675-1522

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0037831 . This is a "NEIGHBORHOOD HELATH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 010460 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1609821651 . This is a "NATIONAL PROVIDER IDENTIFIER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2019540 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2117177 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AA98069 . This is a "PILGRIM HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: P00373184 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000049693 . This is a "BMC HEALTHNET" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245229384 . This is a "BCBS RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 1245229384 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1316922149 . This is a "NATIONAL PROVIDER IDENTIFIER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3694205 . This is a "AETNA, US HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9709860 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 964850-01 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9842957 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA77017 . This is a "PILGRIM HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J18522 . This is a "BLUECROSS/BLUE SHIELD OF MASS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1316922149 . This is a "BLUE CHIP RI (HMO)/BLUE CROSS BLUE SHIELD OF RI" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 6601003 . This is a "UNITED HEALTHCARE OF N.E." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 68741 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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