Provider Demographics
NPI:1700970209
Name:CHAS ENTERPRISES
Entity Type:Organization
Organization Name:CHAS ENTERPRISES
Other - Org Name:PRECISION MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLOSSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-547-8117
Mailing Address - Street 1:4614 WEST MARKET ST.
Mailing Address - Street 2:#B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1400
Mailing Address - Country:US
Mailing Address - Phone:336-547-8117
Mailing Address - Fax:336-855-6155
Practice Address - Street 1:4614 WEST MARKET ST.
Practice Address - Street 2:#B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1400
Practice Address - Country:US
Practice Address - Phone:336-547-8117
Practice Address - Fax:336-855-6155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
37468OtherPARTNERS INS.
KY90002007Medicaid
MS08601804Medicaid
VA9108246Medicaid
045H9OtherBC BS
RICE55253Medicaid
GA888368AMedicaid
NC7702912Medicaid
SCDE2194Medicaid
RICE55253Medicaid