Organization
ACTIVE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN FEIERSTEIN (PRESIDENT)
(919) 870-8600
Entity
Organization
Contact information
Practice address
9104 FALLS OF NEUSE RD, SUITE 100, RALEIGH, NC 27615-2408
(919) 870-8600
Mailing address
9650 STRICKLAND RD, SUITE 103-140, RALEIGH, NC 27615-1902
(919) 870-8600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
149
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0490Z
NC BCBS
NC
01
—
4551919
AETNA
NC
05
—
7700598
—
NC
01
—
82-09172
UNITED HEALTHCARE
NC
Enumeration date
07/06/2005
Last updated
05/09/2008
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