Pruett Medical, Inc.

LBN: Pruett Medical, Inc.
Pruett Medical, Inc. is an health care organization with primary practice located at 6813 Cactus , Waco TX 76712-6160. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Nursing Facility Supplies is the primary health care specialty. Pruett Medical, Inc. can be contacted via phone (254) 772-0040, or through Pruett, Anne C via phone (254) 772-0040.

Contact Information

Primary practice address
6813 Cactus Waco TX 76712-6160
Fax: (254) 772-1110
Website:
Authorized official contact:
Name: Pruett, Anne C

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Nursing Facility Supplies 332BN1400X 0034661 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0034661 Texas

Profile Details

NPI number 1194756296
LBN Legal business name Pruett Medical, Inc.
DBA Doing business as
Authorized official Pruett, Anne C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1194756296 NPPES
Other 0000508611 BLUE CROSS BLUE SHIELD TX
Other J09900025015 BLUE CROSS BLUE SHIELD TX
Other 0005231045 BLUE CROSS BLUE SHIELD TX

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