Provider Demographics
NPI: | 1487670980 |
---|---|
Name: | APRIA HEALTHCARE, INC. |
Entity Type: | Organization |
Organization Name: | APRIA HEALTHCARE, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT AND COO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LAWRENCE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MASTROVICH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 949-639-2810 |
Mailing Address - Street 1: | 250 TECHNOLOGY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | CANONSBURG |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15317-9564 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 520 E NORTH FOOTHILLS DR STE 400 |
Practice Address - Street 2: | |
Practice Address - City: | SPOKANE |
Practice Address - State: | WA |
Practice Address - Zip Code: | 99207-2158 |
Practice Address - Country: | US |
Practice Address - Phone: | 509-489-1000 |
Practice Address - Fax: | 509-482-4270 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-07-15 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336H0001X | Suppliers | Pharmacy | Home Infusion Therapy Pharmacy |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
0326910392 | Medicare ID - Type Unspecified |