Healthcare Provider Details

I. General information

NPI: 1811061922
Provider Name (Legal Business Name): FLEXION TECHNOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9814 CARPENTER AVE
CLIVE IA
50325-6408
US

IV. Provider business mailing address

PO BOX 22057
CLIVE IA
50325-9401
US

V. Phone/Fax

Practice location:
  • Phone: 515-267-0452
  • Fax: 515-225-2768
Mailing address:
  • Phone: 515-267-0452
  • Fax: 515-225-2768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0103556
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: DR. PATRICK BRIAN MOFFIT
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 515-267-0452