Provider Demographics
NPI:1609393297
Name:BYRAM HEALTHCARE CENTERS, INC.
Entity Type:Organization
Organization Name:BYRAM HEALTHCARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-286-2000
Mailing Address - Street 1:5302 RANCHO RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2069
Mailing Address - Country:US
Mailing Address - Phone:714-895-6416
Mailing Address - Fax:714-890-3810
Practice Address - Street 1:6301 36TH AVE W
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-1265
Practice Address - Country:US
Practice Address - Phone:800-456-3500
Practice Address - Fax:206-325-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies