1992897243 NPI number — CAPE COD MEDICAL ENTERPRISES INC

Table of content: (NPI 1992897243)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992897243 NPI number — CAPE COD MEDICAL ENTERPRISES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAPE COD MEDICAL ENTERPRISES 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:
FALCK USA
Provider Other Organization Name Type Code:
5
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:
1992897243
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 842323
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02284-2323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-876-2100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 MID-TECH DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST YARMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02673-2561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-775-0494
Provider Business Practice Location Address Fax Number:
508-790-0396
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAYMON
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
888-876-2100

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 3475 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 085859 . This is a "BCBS COLUMBUS GA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0084274 . This is a "AETNA BLUE BELL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS ALBANY NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS CHATANOOGA TN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS CLEVELAND OH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS COLUMBIA SC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS DALLAS TX" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "ANTHEM BCBS NORTH HAVEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS BUFFALO NY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS DETROIT MI POB 2500" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS DURHAM NC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS DATA CAPTURE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1713094 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 700134 . This is a "HARVARD PILGRIM HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800793 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS DETROIT MI POB 166" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110031154 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 085859 . This is a "BCBS BIRMINGHAM AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS CAMP HILL PA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 085859 . This is a "BCBS CHICAGO IL" identifier . This identifiers is of the category "OTHER".




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