Provider Demographics
NPI:1063821015
Name:STREAMLINE MEDICAL BILLING
Entity Type:Organization
Organization Name:STREAMLINE MEDICAL BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-607-7830
Mailing Address - Street 1:2730 S VAL VISTA DR STE 129
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-1678
Mailing Address - Country:US
Mailing Address - Phone:619-607-7830
Mailing Address - Fax:858-408-7167
Practice Address - Street 1:2730 S VAL VISTA DR STE 129
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1678
Practice Address - Country:US
Practice Address - Phone:619-607-7830
Practice Address - Fax:858-408-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital