Provider Demographics
NPI:1801378005
Name:CATER-MALLETT MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:CATER-MALLETT MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JENELLE
Authorized Official - Last Name:CATER
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:740-584-3399
Mailing Address - Street 1:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-0054
Mailing Address - Country:US
Mailing Address - Phone:740-584-3399
Mailing Address - Fax:740-422-1202
Practice Address - Street 1:1937 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2237
Practice Address - Country:US
Practice Address - Phone:740-584-3399
Practice Address - Fax:740-422-1202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty