1487650719 NPI number — EVERYTHING MEDICAL EQUIPMENT AND SUPPLIES INC.

Table of content: (NPI 1487650719)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487650719 NPI number — EVERYTHING MEDICAL EQUIPMENT AND SUPPLIES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EVERYTHING MEDICAL EQUIPMENT AND SUPPLIES 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:
1487650719
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 CHEMUNG ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORNING
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14830-2740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
607-936-2044
Provider Business Mailing Address Fax Number:
607-962-6609

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 CHEMUNG ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORNING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14830-2740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-936-2044
Provider Business Practice Location Address Fax Number:
607-962-6609
Provider Enumeration Date:
06/22/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PELHAM
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
607-776-8000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 02391826 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".