1548367063 NPI number — PRISM MEDICAL PRODUCTS, L.L.C.

Table of content: (NPI 1548367063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548367063 NPI number — PRISM MEDICAL PRODUCTS, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRISM MEDICAL PRODUCTS, L.L.C.
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:
1548367063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 476
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ELKIN
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28621-0476
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-244-6421
Provider Business Mailing Address Fax Number:
800-975-6321

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 CHURCH ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKIN
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28621-3476
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-244-6421
Provider Business Practice Location Address Fax Number:
800-975-6321
Provider Enumeration Date:
09/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CARTWRIGHT
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
JON
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
888-244-6421

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: 112645100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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