Provider Demographics
NPI:1609251172
Name:ARDENT MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:ARDENT MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:GILPATRIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-531-7770
Mailing Address - Street 1:98 SINNOTT RD
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-7724
Mailing Address - Country:US
Mailing Address - Phone:888-531-7770
Mailing Address - Fax:888-578-2656
Practice Address - Street 1:98 SINNOTT RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-7724
Practice Address - Country:US
Practice Address - Phone:888-531-7770
Practice Address - Fax:888-578-2656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1166321332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies