Peninsula Biomedical Inc

LBN: Peninsula Biomedical Inc
Peninsula Biomedical Inc is an health care organization with primary practice located at 500-01 Wait Ave , Wake Forest NC 27587. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Peninsula Biomedical Inc can be contacted via phone (919) 556-8934, or through Reid, Tony via phone (831) 430-9066.

Contact Information

Primary practice address
500-01 Wait Ave Wake Forest NC 27587
Fax: (919) 556-0693
Website:
Authorized official contact:
Name: Reid, Tony

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00508 North Carolina
Suppliers / Customized Equipment 332BC3200X 00508 North Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 00508 North Carolina

Profile Details

NPI number 1790796639
LBN Legal business name Peninsula Biomedical Inc
DBA Doing business as
Authorized official Reid, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790796639 NPPES
Virginia MEDICAID 010107199
Virginia Other 0428V
Virginia MEDICAID 9001254300

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