Provider Demographics
NPI:1235344342
Name:SLEEP MEDICAL CENTER, INC
Entity Type:Organization
Organization Name:SLEEP MEDICAL CENTER, INC
Other - Org Name:SLEEP MEDICAL CENTER, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:W
Authorized Official - Last Name:WRIGHTENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:919-477-1588
Mailing Address - Street 1:4111 CAPITOL ST
Mailing Address - Street 2:4007 ROXBORO ROAD
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2153
Mailing Address - Country:US
Mailing Address - Phone:919-477-1588
Mailing Address - Fax:919-477-1688
Practice Address - Street 1:4111 CAPITOL ST
Practice Address - Street 2:4007 ROXBORO ROAD
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2153
Practice Address - Country:US
Practice Address - Phone:919-477-1588
Practice Address - Fax:919-477-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic