Provider Demographics
NPI:1750774618
Name:UROMED, INC.
Entity type:Organization
Organization Name:UROMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-841-1233
Mailing Address - Street 1:3975 JOHNS CREEK CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1298
Mailing Address - Country:US
Mailing Address - Phone:800-841-1233
Mailing Address - Fax:678-417-0139
Practice Address - Street 1:8440 CONCORD CENTER DR STE 102
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-7058
Practice Address - Country:US
Practice Address - Phone:720-568-4563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RGH ENTERPRISES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-03-16
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1067660006Medicare NSC
CO1067660006Medicare PIN