Provider Demographics
NPI:1578985842
Name:BIOSCRIP MEDICAL SUPPLY SERVICES, LLC
Entity Type:Organization
Organization Name:BIOSCRIP MEDICAL SUPPLY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, GENERAL COUNSEL, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:STALMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-697-5153
Mailing Address - Street 1:5249 HARDING PL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2901
Mailing Address - Country:US
Mailing Address - Phone:855-267-4391
Mailing Address - Fax:855-505-1345
Practice Address - Street 1:5249 HARDING PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2901
Practice Address - Country:US
Practice Address - Phone:855-267-4391
Practice Address - Fax:855-505-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition