Provider Demographics
NPI:1114905163
Name:UROMED, INC
Entity Type:Organization
Organization Name:UROMED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-841-1233
Mailing Address - Street 1:3975 JOHNS CREEK CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1298
Mailing Address - Country:US
Mailing Address - Phone:800-841-1233
Mailing Address - Fax:678-417-0139
Practice Address - Street 1:3975 JOHNS CREEK CT
Practice Address - Street 2:SUITE 100
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1298
Practice Address - Country:US
Practice Address - Phone:800-841-1233
Practice Address - Fax:678-417-0139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010352501Medicaid
OK100798870AMedicaid
LA1689386Medicaid
GA000702314AMedicaid
CT003104156Medicaid
NY01674928Medicaid
AR155532716Medicaid
OH0266797Medicaid
TX10023042Medicaid
TX11969Medicaid
NJ7330502Medicaid
FL951804500Medicaid
TX011908301Medicaid
DC035398100Medicaid
SCDME950Medicaid
PA0015877930005Medicaid
KY90112301Medicaid
IL=========001Medicaid
PA0015877930005Medicaid