Provider Demographics
NPI:1598700296
Name:UNITED HEALTHCARE PRODUCTS, LLC
Entity Type:Organization
Organization Name:UNITED HEALTHCARE PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-936-3274
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-0130
Mailing Address - Country:US
Mailing Address - Phone:215-653-8311
Mailing Address - Fax:215-653-8143
Practice Address - Street 1:615 S WARE BLVD
Practice Address - Street 2:SUITE U
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4444
Practice Address - Country:US
Practice Address - Phone:800-305-2312
Practice Address - Fax:800-491-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH19494332B00000X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4235780002Medicare NSC