Provider Demographics
NPI:1770563777
Name:MEDICAL MODALITIES INC.
Entity type:Organization
Organization Name:MEDICAL MODALITIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-932-8885
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28082-0640
Mailing Address - Country:US
Mailing Address - Phone:704-932-8885
Mailing Address - Fax:704-932-8887
Practice Address - Street 1:122 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-3211
Practice Address - Country:US
Practice Address - Phone:704-932-8885
Practice Address - Fax:704-932-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00128332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700293Medicaid
VA9116192Medicaid
SCDM0826Medicaid
SCDM0826Medicaid