Healthcare Provider Details

I. General information

NPI: 1851398564
Provider Name (Legal Business Name): HEALTH DIRECT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 NEW BRITAIN AVE SUITE 105
FARMINGTON CT
06032-3112
US

IV. Provider business mailing address

1690 NEW BRITAIN AVE SUITE 105
FARMINGTON CT
06032-3112
US

V. Phone/Fax

Practice location:
  • Phone: 877-496-7461
  • Fax: 888-219-6588
Mailing address:
  • Phone: 877-496-7461
  • Fax: 888-219-6588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG EVANS
Title or Position: VICE PRESIDENT
Credential:
Phone: 860-507-0505