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NPI Code Detail

MEDICARE: NAI SATURN EASTERN LLC

MEDICARE: NAI SATURN EASTERN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyP06638MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12150016OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912287921
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAI SATURN EASTERN LLC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line : MAILSTOP SEC2-B
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number : 847-916-4463
Fax Number : 847-916-4736
Provider Business Practice Location Address
First Line : 5000 BRADLEY BLVD
Second Line :
City : BETHESDA
State : MD
Zip : 20815-6559
Country : US
Telephone Number : 301-654-4769
Fax Number : 301-941-8067
Authorized Official
Title or Position : ASSISTANT MANAGER, ENROLLMENTS
Name : TIFFANY ELIOPULOS
Credential :
Telephone Number : 208-395-3906
Provider Enumeration Date : 08/22/2011
Last Update Date : 03/01/2019

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Directions to “NAI SATURN EASTERN LLC ” Practice Location

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