Basic Information
Provider Information
NPI: 1346425840
EntityType: 2
ReplacementNPI:  
OrganizationName: ASSOCIATED HEALTHCARE SYSTEMS, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: CPAP XPRESS
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8730 HARRIS RD
Address2: UNIT 204
City: BAKERSFIELD
State: CA
PostalCode: 933118990
CountryCode: US
TelephoneNumber: 6613963720
FaxNumber: 6618326009
Practice Location
Address1: 1881 RIDGE RD
Address2: UNIT 1100
City: WEST SENECA
State: NY
PostalCode: 142243395
CountryCode: US
TelephoneNumber: 7166742713
FaxNumber: 7166742723
Other Information
ProviderEnumerationDate: 01/02/2008
LastUpdateDate: 08/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: THOMAS
AuthorizedOfficialFirstName: JANE
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: CHIEF EXECUTIVE OFFICER
AuthorizedOfficialTelephone: 4158931518
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332B00000X  Y SuppliersDurable Medical Equipment & Medical Supplies 

No ID Information.


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