1223 South 15Th Street Corporation in Philadelphia - Customized Equipment
1223 South 15Th Street Corporation - NPI 1396799722
1223 South 15Th Street Corporation is a Customized Equipment in Philadelphia, Pennsylvania. 1223 South 15Th Street Corporation practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for 1223 South 15Th Street Corporation is 1396799722. The last update date is 2020-08-22.
1223 South 15Th Street Corporation's current location address is 2745 W Passyunk Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153343816 and fax number 2153341998. The mailing address for 1223 South 15Th Street Corporation is 2745 W Passyunk Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 1223 South 15Th Street Corporation |
|---|---|
| Address | 2745 W Passyunk Ave, Philadelphia, Pennsylvania |
| Phone Number | 2153343816 |
| Fax Number | 2153341998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cocco A. Carlo |
| Credentials | BCO |
| Telephone Number | 2153343816 |
NPI Number Detail
| NPI Number | 1396799722 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2745 W Passyunk Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191454012 |
| Phone Number | 2153343816 |
| Fax Number | 2153341998 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 6000003764 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39000573532 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to 1223 South 15Th Street Corporation by the Centers for Medicare & Medicaid Services?
The 1223 South 15Th Street Corporation has been issued the NPI (National Provider Identifier) 1396799722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where 1223 South 15Th Street Corporation is located?
The 1223 South 15Th Street Corporation is situated at the following address: 2745 W Passyunk Ave, Philadelphia, PA, 191454012.
What is the 1223 South 15Th Street Corporation's specialty and taxonomy code?
The 1223 South 15Th Street Corporation's specialty is Customized Equipment, and the corresponding taxonomy code is 332Bc3200X.
On what date was the 1396799722 assigned to 1223 South 15Th Street Corporation?
The 1223 South 15Th Street Corporation was issued its 1396799722 on 2006-05-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to 1223 South 15Th Street Corporation most recently updated or revised?
The details related to 1223 South 15Th Street Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1891797999
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