Provider Demographics
NPI:1912385717
Name:BYRAM HEALTHCARE CENTERS, INC.
Entity Type:Organization
Organization Name:BYRAM HEALTHCARE CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNOCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-286-2053
Mailing Address - Street 1:645 E 4500 S
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3345
Mailing Address - Country:US
Mailing Address - Phone:714-895-6416
Mailing Address - Fax:714-890-3810
Practice Address - Street 1:645 E 4500 S
Practice Address - Street 2:SUITE 120
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-3345
Practice Address - Country:US
Practice Address - Phone:714-895-6416
Practice Address - Fax:714-890-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies