Provider Demographics
NPI:1568815678
Name:NORTH ATLANTIC MEDICAL
Entity Type:Organization
Organization Name:NORTH ATLANTIC MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-596-7421
Mailing Address - Street 1:1155 PHOENIXVILLE PIKE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4285
Mailing Address - Country:US
Mailing Address - Phone:888-596-7421
Mailing Address - Fax:
Practice Address - Street 1:1155 PHOENIXVILLE PIKE
Practice Address - Street 2:SUITE 104
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4285
Practice Address - Country:US
Practice Address - Phone:888-596-7421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000008944332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7567320001Medicare NSC