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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 PharmacyP06611MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12149994OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598794513
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 : 444 WMC DR
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-4337
Country : US
Telephone Number : 410-871-1203
Fax Number : 410-871-1207
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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