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NPI Code Detail

MEDICARE: ME PIVOT HOLDINGS LLC

MEDICARE: ME PIVOT HOLDINGS 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
1237700000XHearing Instrument Specialist

General Provider Information

NPI Number : 1194357335
Entity Type Code : Organization
Provider Name (Legal Business Name) : ME PIVOT HOLDINGS LLC
Provider Business Mailing Address
First Line : 150 S 5TH ST STE 2300
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55402-4223
Country : US
Telephone Number : 763-268-4000
Fax Number :
Provider Business Practice Location Address
First Line : 182 S MAIN ST
Second Line :
City : CLEVELAND
State : GA
Zip : 30528-1402
Country : US
Telephone Number : 706-865-0224
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KEN HALL
Credential :
Telephone Number : 763-268-4000
Provider Enumeration Date : 02/05/2020
Last Update Date : 02/05/2020

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Directions to “ME PIVOT HOLDINGS LLC ” Practice Location

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