Provider Demographics
NPI:1326176686
Name:UCHP INCORPORATED
Entity Type:Organization
Organization Name:UCHP INCORPORATED
Other - Org Name:MAXCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-315-8607
Mailing Address - Street 1:8723 E VIA DE COMMERCIO
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3328
Mailing Address - Country:US
Mailing Address - Phone:480-315-8607
Mailing Address - Fax:480-315-8796
Practice Address - Street 1:2754 CONCRETE CT.
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446
Practice Address - Country:US
Practice Address - Phone:888-900-7878
Practice Address - Fax:877-430-7695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103308332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME01559GMedicaid
CAPHA433520Medicaid
CADME01559GMedicaid