Prodigy Healthcare Services Inc.

LBN: Prodigy Healthcare Services Inc.
Prodigy Healthcare Services Inc. is an health care organization with primary practice located at 4801 Hargrove Road Suite 12, Raleigh NC 27616-1949. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prodigy Healthcare Services Inc. can be contacted via phone (919) 264-9769, or through Uwakwe, Kelechi C via phone (919) 264-9769.

Contact Information

Primary practice address
4801 Hargrove Road Suite 12 Raleigh NC 27616-1949
Phone: (919) 264-9769
Fax: (919) 341-5838
Website:
Map and Directions
Authorized official contact:
Name: Uwakwe, Kelechi C Registered Nurse (RN)
Phone: (919) 264-9769

Health care specialties

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

Profile Details

NPI number 1699722272
LBN Legal business name Prodigy Healthcare Services Inc.
DBA Doing business as
Authorized official Uwakwe, Kelechi C Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Jul 1st, 2009 - about 15 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 1699722272 NPPES
North Carolina MEDICAID 7704536

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