1417019852 NPI number — COMPRESSION MANAGEMENT SERVICES, INC.

Table of content: (NPI 1417019852)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417019852 NPI number — COMPRESSION MANAGEMENT SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPRESSION MANAGEMENT SERVICES, 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:
Provider Other Organization Name Type Code:
6
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:
1417019852
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
580 S AIKEN AVE
Provider Second Line Business Mailing Address:
SUITE 420
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232-1531
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-682-6335
Provider Business Mailing Address Fax Number:
412-682-6352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1405 EISENHOWER BLVD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15904-3222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-255-5800
Provider Business Practice Location Address Fax Number:
814-255-5802
Provider Enumeration Date:
12/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CLARK
Authorized Official First Name:
JOANN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
412-682-6335

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  6000006223 , 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: 251080 . This is a "COVENTRY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 208238 . This is a "UPMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0019049430002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 292937 . This is a "HIGHMARK" identifier . This identifiers is of the category "OTHER".




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