Provider Demographics
NPI:1720654080
Name:PRIMEX HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:PRIMEX HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:EPIE
Authorized Official - Last Name:SONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-772-7146
Mailing Address - Street 1:645 TANOAK CT
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3097
Mailing Address - Country:US
Mailing Address - Phone:408-772-7146
Mailing Address - Fax:408-735-7447
Practice Address - Street 1:645 TANOAK CT
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3097
Practice Address - Country:US
Practice Address - Phone:408-772-7146
Practice Address - Fax:408-735-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health