1851487110 NPI number — UNITED MEDICAL SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851487110 NPI number — UNITED MEDICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED MEDICAL SERVICES
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:
1851487110
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/02/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 268
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELANO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-721-2300
Provider Business Mailing Address Fax Number:
661-721-2333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1313 C MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELANO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-721-2300
Provider Business Practice Location Address Fax Number:
661-721-2333
Provider Enumeration Date:
10/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DHILLON
Authorized Official First Name:
SUKHMANDER
Authorized Official Middle Name:
SINGH
Authorized Official Title or Position:
OWNER PARTNER
Authorized Official Telephone Number:
661-721-2300

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  103449 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DME03167F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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