Healthcare Provider Details
I. General information
NPI: 1952374688
Provider Name (Legal Business Name): DESIGNATED COMPANIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 OSBORNE ST
AUBURN NY
13021-3818
US
IV. Provider business mailing address
PO BOX 827132
PHILADELPHIA PA
19182-7132
US
V. Phone/Fax
- Phone: 315-255-2597
- Fax: 315-255-6857
- Phone: 716-827-3710
- Fax: 716-827-1151
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 023179 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 023179 |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
FRANK
POWERS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 615-221-8149