Provider Demographics
NPI:1396935276
Name:TOP HAT INC
Entity type:Organization
Organization Name:TOP HAT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SALES MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:M
Authorized Official - Last Name:PRIDEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-782-1069
Mailing Address - Street 1:226 HOOD ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-5238
Mailing Address - Country:US
Mailing Address - Phone:608-782-1069
Mailing Address - Fax:608-784-7233
Practice Address - Street 1:226 HOOD ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5238
Practice Address - Country:US
Practice Address - Phone:608-782-1069
Practice Address - Fax:608-784-7233
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOP HAT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-27
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN954955000Medicaid
MN5658520001Medicare NSC
MN954955000Medicaid