Provider Demographics
NPI:1437647716
Name:MEDSCOPE AMERICA LLC
Entity Type:Organization
Organization Name:MEDSCOPE AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-645-2060
Mailing Address - Street 1:222 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1742
Mailing Address - Country:US
Mailing Address - Phone:800-645-2060
Mailing Address - Fax:610-896-7233
Practice Address - Street 1:1400 16TH ST STE 400
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5995
Practice Address - Country:US
Practice Address - Phone:800-645-2060
Practice Address - Fax:610-896-7233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000151022Medicaid