Provider Demographics
NPI:1023054517
Name:TOTAL CONTACT, INC.
Entity type:Organization
Organization Name:TOTAL CONTACT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:WHITESTONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-855-6107
Mailing Address - Street 1:41 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45327-1349
Mailing Address - Country:US
Mailing Address - Phone:937-855-6107
Mailing Address - Fax:937-855-6903
Practice Address - Street 1:41 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:OH
Practice Address - Zip Code:45327-1349
Practice Address - Country:US
Practice Address - Phone:937-855-6107
Practice Address - Fax:937-855-6903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1015481430001Medicaid
WA9055856Medicaid
OH2307220Medicaid
OR275221Medicaid