1578596839 NPI number — PULSEAIR MEDICAL EQUIPMENT, INC.

Table of content: (NPI 1578596839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578596839 NPI number — PULSEAIR MEDICAL EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PULSEAIR MEDICAL EQUIPMENT, 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:
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:
1578596839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1200 N PATE ST
Provider Second Line Business Mailing Address:
#4
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88220-3501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-885-6780
Provider Business Mailing Address Fax Number:
575-885-8162

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 N. PATE
Provider Second Line Business Practice Location Address:
#4
Provider Business Practice Location Address City Name:
CARLSBAD
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88220-4020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-885-6780
Provider Business Practice Location Address Fax Number:
575-885-8162
Provider Enumeration Date:
07/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
W
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
575-885-6780

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  02178873001 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: T0506 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com