Providence Medical Corporation

LBN: Providence Medical Corporation
Providence Medical Corporation is an health care organization with primary practice located at 3350 Ulmerton Rd Suite 16, Clearwater FL 33762-3397. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Providence Medical Corporation can be contacted via phone (727) 540-9377, or through Levering, David Richard via phone (727) 540-9377.

Contact Information

Primary practice address
3350 Ulmerton Rd Suite 16 Clearwater FL 33762-3397
Phone: (727) 540-9377
Fax: (727) 540-9387
Website:
Map and Directions
Authorized official contact:
Name: Levering, David Richard
Phone: (727) 540-9377

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 326 Florida

Profile Details

NPI number 1225027493
LBN Legal business name Providence Medical Corporation
DBA Doing business as
Authorized official Levering, David Richard
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 26th, 2014 - about 10 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 1225027493 NPPES
Florida MEDICAID 022415400
Florida Other R9114

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