1407984834 NPI number — BARTON-CAREY MEDICAL PRODUCTS,INC.

Table of content: (NPI 1407984834)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407984834 NPI number — BARTON-CAREY MEDICAL PRODUCTS,INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARTON-CAREY MEDICAL 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:
1407984834
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1331 CONANT STREET
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
MAUMEE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43537
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-421-0444
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1331 CONANT STREET
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
MAUMEE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43537
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-421-0444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUDAK
Authorized Official First Name:
FREDRICKA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CUSTOMER SERVICE
Authorized Official Telephone Number:
800-421-0444

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: 76138 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: N287003 . This is a "HARMONY HEALTH" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 2715261 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 127863500 . This is a "US DEPARTMENT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0623534 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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