Custom Medical Services in Roosevelt - Adult Medicine
Custom Medical Services - NPI 1669452298
Custom Medical Services is a Adult Medicine in Roosevelt, Utah. Custom Medical Services practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Custom Medical Services is 1669452298. The last update date is 2020-08-22.
Custom Medical Services's current location address is Rr 3 Box 3053, Roosevelt, Utah. You can contact this provider via phone number 4357227704. The mailing address for Custom Medical Services is Rr 3 Box 3053, Roosevelt, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Custom Medical Services |
---|---|
Address | Rr 3 Box 3053, Roosevelt, Utah |
Phone Number | 4357227704 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Pehrson Edwin Steve |
Credentials | M.D. |
Telephone Number | 4357227704 |
NPI Number Detail
NPI Number | 1669452298 |
---|---|
Provider Enumeration Date | 2006-01-19 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Rr 3 Box 3053 |
---|---|
City | Roosevelt |
State | Utah (UT) |
Post Code | 840669609 |
Phone Number | 4357227704 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
---|---|
Taxonomy | 207Qa0505X |
Licence No | V09531 |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
Post Comment/ Review Below
What is the unique identifier code issued to Custom Medical Services by the Centers for Medicare & Medicaid Services?
The Custom Medical Services has been assigned the NPI (National Provider Identifier) 1669452298. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Custom Medical Services's facilities are geographically located?
The facilities of Custom Medical Services are physically situated at the following location: Rr 3 Box 3053, Roosevelt, UT, 840669609.
What is Custom Medical Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Custom Medical Services's area of specialization is Adult Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qa0505X.
On what date did Custom Medical Services receive its 1669452298 assignment from the Centers for Medicare & Medicaid Services?
The Custom Medical Services was assigned its 1669452298 on 2006-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Custom Medical Services last refreshed?
The information related to the Custom Medical Services, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
Address: 14200 W Fillmore St, Goodyear, AZ
Address: 5305 Wrightsville Ave Ste B, Wilmington, NC
Address: Po Box 891, Collegedale, TN
Address: 774 College Hwy, Southwick, MA
Address: 27 Fogg Ct, Manchester, NH
Address: 3300 Olney Sandy Spring Rd, Olney, MD
Address: 3300 Olney Sandy Spring Rd Ste 330, Olney, MD
Address: 120 Fountainhead Ct, Lenoir City, TN
Address: 856 J Clyde Morris Blvd, Newport News, VA
Address: Po Box 1848, Muskegon, MI
Address: 110 Exchange St, Danville, VA
Address: 142 Smale Ln, Kunkletown, PA
Address: 2 Coraci Blvd, Shirley, NY
Address: 238 N Main St, Wellsville, NY
Address: 2640 Hamstrom Rd, Portage, IN