Provider Demographics
NPI:1912034356
Name:WEBB MEDICAL SYSTEMS INC.
Entity Type:Organization
Organization Name:WEBB MEDICAL SYSTEMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-440-0265
Mailing Address - Street 1:1540 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1618
Mailing Address - Country:US
Mailing Address - Phone:610-440-0265
Mailing Address - Fax:610-440-1978
Practice Address - Street 1:1540 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1618
Practice Address - Country:US
Practice Address - Phone:610-440-0265
Practice Address - Fax:610-440-1978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0071098180002Medicaid
PA0071098180002Medicaid