Innovative Service Inc in Clinton - Parenteral & Enteral Nutrition
Innovative Service Inc - NPI 1720033715
Innovative Service Inc is a Parenteral & Enteral Nutrition in Clinton, New York. Innovative Service Inc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for Innovative Service Inc is 1720033715. The last update date is 2012-03-29.
Innovative Service Inc's current location address is Po Box 325, Clinton, New York. You can contact this provider via phone number 3158531280 and fax number 3158536087. The mailing address for Innovative Service Inc is Po Box 325, Clinton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Service Inc |
|---|---|
| Address | Po Box 325, Clinton, New York |
| Phone Number | 3158531280 |
| Fax Number | 3158536087 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP, CIO |
|---|---|
| Authorized Official Name | Crossman M Alyce |
| Telephone Number | 3158531280 |
NPI Number Detail
| NPI Number | 1720033715 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2012-03-29 |
Provider Mailing Address Detail
| Address | Po Box 325 |
|---|---|
| City | Clinton |
| State | New York (NY) |
| Post Code | 133230325 |
| Phone Number | 3158531280 |
| Fax Number | 3158536087 |
Provider's Primary Taxonomy Detail
| Speciality | Parenteral & Enteral Nutrition |
|---|---|
| Taxonomy | 332Bp3500X |
|
Definition: Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83Y | MEDICAID ETIN | ||
| 2883443 | NY | -- | |
| 0701L001 | NY | DOH LICENSE # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Innovative Service Inc by the Centers for Medicare & Medicaid Services?
The Innovative Service Inc has been issued the NPI (National Provider Identifier) 1720033715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Innovative Service Inc is physically located?
The Innovative Service Inc is physically situated at the following address: Po Box 325, Clinton, NY, 133230325.
What is the Innovative Service Inc's area of specialization and corresponding taxonomy classification?
The Innovative Service Inc's specialty field is Parenteral & Enteral Nutrition, and it falls under the taxonomy code 332Bp3500X, which categorizes healthcare providers based on their specialties.
On what date was the 1720033715 assigned to Innovative Service Inc?
The Innovative Service Inc was issued its 1720033715 on 2006-05-24, 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 Innovative Service Inc most recently updated or revised?
The details related to Innovative Service Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-29.