Provider Demographics
NPI:1467904292
Name:RECHANNEL EXPRESS
Entity Type:Organization
Organization Name:RECHANNEL EXPRESS
Other - Org Name:RECHANNEL TECHNICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULL
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-906-3436
Mailing Address - Street 1:214 WINDEL DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4442
Mailing Address - Country:US
Mailing Address - Phone:919-906-3439
Mailing Address - Fax:
Practice Address - Street 1:214 WINDEL DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4442
Practice Address - Country:US
Practice Address - Phone:919-906-3439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment