1730174764 NPI number — BURMAN'S MEDICAL SUPPLIES, INC.

Table of content: (NPI 1730174764)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730174764 NPI number — BURMAN'S MEDICAL SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BURMAN'S MEDICAL 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:
BURMAN'S HOME HEALTH CARE, INC.
Provider Other Organization Name Type Code:
4
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:
1730174764
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
162 INDUSTRY DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15275-1014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-800-5777
Provider Business Mailing Address Fax Number:
844-800-5770

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 CONCORD RD STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ASTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19014-2909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-833-4300
Provider Business Practice Location Address Fax Number:
844-800-5770
Provider Enumeration Date:
09/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
EDMUNDS
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT/COO
Authorized Official Telephone Number:
412-226-9707

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: 204011 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0002534000 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0012840060002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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