Provider Demographics
NPI:1679966840
Name:RISING SUN MEDICAL INCORPORATED
Entity Type:Organization
Organization Name:RISING SUN MEDICAL INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-613-7145
Mailing Address - Street 1:7210 RISING SUN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3927
Mailing Address - Country:US
Mailing Address - Phone:215-613-7145
Mailing Address - Fax:
Practice Address - Street 1:7210 RISING SUN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3927
Practice Address - Country:US
Practice Address - Phone:215-613-7145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health