1386918266 NPI number — RMJM ENTERPRISE, 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 1386918266 NPI number — RMJM ENTERPRISE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RMJM ENTERPRISE, 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:
PREFERRED MEDICAL EQUIPMENT & SUPPLIES
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:
1386918266
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6310 MERRYDALE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70812-3018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-358-1600
Provider Business Mailing Address Fax Number:
225-358-1505

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6310 MERRYDALE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70812-3018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-358-1600
Provider Business Practice Location Address Fax Number:
225-358-1505
Provider Enumeration Date:
02/24/2012

Additional Information

Authorized Official

Authorized Official Last Name:
REMBERT
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
BOYD
Authorized Official Title or Position:
OWNER/OFFICE MANAGER
Authorized Official Telephone Number:
225-358-1600

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: 1476773 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com