Primary Health Source Inc.

LBN: Primary Health Source Inc.
Primary Health Source Inc. is an health care organization with primary practice located at 1517 Lincoln St , Laredo TX 78040-5712. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Primary Health Source Inc. can be contacted via phone (956) 753-0438, or through Hernandez, Joel via phone (956) 753-0438.

Contact Information

Primary practice address
1517 Lincoln St Laredo TX 78040-5712
Fax: (956) 712-9146
Website:
Authorized official contact:
Name: Hernandez, Joel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0080659 Texas

Profile Details

NPI number 1316996143
LBN Legal business name Primary Health Source Inc.
DBA Doing business as
Authorized official Hernandez, Joel
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Mar 12th, 2010 - about 14 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 1316996143 NPPES
Texas MEDICAID 181320602

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