Provider Demographics
NPI:1396891495
Name:NATIONAL BIOLOGICAL CORPORATION
Entity type:Organization
Organization Name:NATIONAL BIOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-831-0600
Mailing Address - Street 1:23700 MERCANTILE RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5900
Mailing Address - Country:US
Mailing Address - Phone:216-831-0600
Mailing Address - Fax:216-765-0271
Practice Address - Street 1:23700 MERCANTILE RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5900
Practice Address - Country:US
Practice Address - Phone:216-831-0600
Practice Address - Fax:216-765-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH18501214332BC3200X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0717673Medicaid
PA0015850730002Medicaid
WI100099785Medicaid
OH0731079Medicaid