Provider Demographics
NPI:1811061922
Name:FLEXION TECHNOLOGY, INC
Entity type:Organization
Organization Name:FLEXION TECHNOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MOFFIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:515-267-0452
Mailing Address - Street 1:PO BOX 22057
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-9401
Mailing Address - Country:US
Mailing Address - Phone:515-267-0452
Mailing Address - Fax:515-225-2768
Practice Address - Street 1:9814 CARPENTER AVE
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-6408
Practice Address - Country:US
Practice Address - Phone:515-267-0452
Practice Address - Fax:515-225-2768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0103556Medicaid
IA0103556Medicaid