1811939291 NPI number — CENTRAL MEDICAL EQUIPMENT COMPANY INC

Table of content: (NPI 1811939291)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811939291 NPI number — CENTRAL MEDICAL EQUIPMENT COMPANY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL MEDICAL EQUIPMENT COMPANY 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:
DYNAMIC HEALTHCARE SERVICES PA
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:
1811939291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 SARHELM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17112-3339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-657-2100
Provider Business Mailing Address Fax Number:
717-657-2176

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
524 GREENBRIAR RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-1335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-764-8300
Provider Business Practice Location Address Fax Number:
717-764-8383
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRABKO
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
717-657-2100

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  3000007872 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0011810180001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 39HA33 . This is a "CBC PROVIDER NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 289373 . This is a "HIGHMARK PROVIDER NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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