Provider Demographics
NPI:1669408803
Name:SICKROOM SERVICES INC
Entity type:Organization
Organization Name:SICKROOM SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-673-5592
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15134-0008
Mailing Address - Country:US
Mailing Address - Phone:412-673-5592
Mailing Address - Fax:412-678-0959
Practice Address - Street 1:1535 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15131-1711
Practice Address - Country:US
Practice Address - Phone:412-673-5590
Practice Address - Fax:412-678-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP034977OtherCHAMPUS
PA0011637440002Medicaid
PA208077OtherHIGHMARK BC BS
PAP034977OtherCHAMPUS