Healthcare Provider Details

I. General information

NPI: 1669203428
Provider Name (Legal Business Name): CONMED BILLING AND CODING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HAMPDEN DR STE 2
SOUTH EASTON MA
02375-1180
US

IV. Provider business mailing address

20 HAMPDEN DR STE 2
SOUTH EASTON MA
02375-1180
US

V. Phone/Fax

Practice location:
  • Phone: 774-250-5652
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DAPHNEY SIMON-PASCAL
Title or Position: ADMINISTRATOR
Credential:
Phone: 781-588-0687