Provider Demographics
NPI:1376180414
Name:UNITED MEDICAL PROVIDERS, INC
Entity Type:Organization
Organization Name:UNITED MEDICAL PROVIDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-520-8372
Mailing Address - Street 1:8010 CROWDER BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1063
Mailing Address - Country:US
Mailing Address - Phone:504-520-8372
Mailing Address - Fax:504-520-8376
Practice Address - Street 1:2158 NORTHGATE PARK LN STE 208
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6965
Practice Address - Country:US
Practice Address - Phone:423-541-8085
Practice Address - Fax:888-784-1561
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED MEDICAL PROVIDERS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-12-09
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies