Provider Demographics
NPI:1477809051
Name:CONNECTAMERICA.COM,LLC
Entity type:Organization
Organization Name:CONNECTAMERICA.COM,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CONTRACTS & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-988-1132
Mailing Address - Street 1:816 PARK WAY
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-4215
Mailing Address - Country:US
Mailing Address - Phone:800-420-1299
Mailing Address - Fax:484-270-8940
Practice Address - Street 1:816 PARK WAY
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-4215
Practice Address - Country:US
Practice Address - Phone:800-420-1299
Practice Address - Fax:484-270-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0091125Medicaid