Provider Demographics
| NPI: | 1841498466 |
|---|---|
| Name: | PREFERRED CHOICE BUSINESS SERVICES, INC |
| Entity type: | Organization |
| Organization Name: | PREFERRED CHOICE BUSINESS SERVICES, INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | VICE PRESIDENT |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | CHRISTINA |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | ROGERS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 704-941-4273 |
| Mailing Address - Street 1: | PO BOX 278 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BEULAVILLE |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28518 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 704-941-4273 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 132 ROUTLEDGE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | KENANSVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 28349-9711 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 910-296-6144 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-07-05 |
| Last Update Date: | 2008-04-23 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NC | 5974190001 | Medicare NSC |