Provider Demographics
NPI:1629148424
Name:HERES THE DEAL
Entity Type:Organization
Organization Name:HERES THE DEAL
Other - Org Name:HERES THE DEAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-894-3654
Mailing Address - Street 1:468 MANZANITA AVE
Mailing Address - Street 2:#3
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1358
Mailing Address - Country:US
Mailing Address - Phone:530-894-3654
Mailing Address - Fax:
Practice Address - Street 1:468 MANZANITA AVE
Practice Address - Street 2:#3
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1358
Practice Address - Country:US
Practice Address - Phone:530-894-3654
Practice Address - Fax:530-894-3705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5976960001Medicare NSC