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NPI Code Detail

MEDICARE: NAI SATURN EASTERN LLC

MEDICARE: NAI SATURN EASTERN 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail Pharmacy0201003007VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22150024OTHERPK

General Provider Information

NPI Number : 1568491579
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAI SATURN EASTERN LLC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line : MAILSTOP SEC2-B
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number : 847-916-4463
Fax Number : 847-916-4736
Provider Business Practice Location Address
First Line : 2500 N HARRISON ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1600
Country : US
Telephone Number : 703-538-6911
Fax Number : 703-538-6138
Authorized Official
Title or Position : ASSISTANT MANAGER, ENROLLMENTS
Name : TIFFANY ELIOPULOS
Credential :
Telephone Number : 208-395-3906
Provider Enumeration Date : 07/02/2006
Last Update Date : 09/27/2018

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Directions to “NAI SATURN EASTERN LLC ” Practice Location

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