1801937958 NPI number — A M RENTAL MEDICAL EQUIPMENT CORP

Table of content: (NPI 1801937958)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801937958 NPI number — A M RENTAL MEDICAL EQUIPMENT CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A M RENTAL MEDICAL EQUIPMENT CORP
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:
AM ORTHOPEDIC
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:
1801937958
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/08/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1770 W 40TH ST
Provider Second Line Business Mailing Address:
UNIT 2
Provider Business Mailing Address City Name:
HIALEAH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33012-7080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-557-2830
Provider Business Mailing Address Fax Number:
866-510-9216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1770 W 40TH ST
Provider Second Line Business Practice Location Address:
UNIT 2
Provider Business Practice Location Address City Name:
HIALEAH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33012-7080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-557-2830
Provider Business Practice Location Address Fax Number:
866-510-9216
Provider Enumeration Date:
02/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHARNOCK
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
P
Authorized Official Title or Position:
DIRECTOR/OWNER
Authorized Official Telephone Number:
251-633-9960

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  PED33 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 028617600 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com