Organization
PRIME CARE MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER AMICO (PRESIDENT)
(631) 447-0093
Entity
Organization
Contact information
Practice address
12 HOMESTEAD DRIVE, WELLS, ME 04090
(207) 646-2102
(207) 646-7066
Mailing address
12 HOMESTEAD DRIVE, WELLS, ME 04090
(207) 646-2102
(207) 646-7066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ME
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0343400
BLUE CROSS OF NH
—
01
—
1367
CARE CENTRIX
—
05
—
154380000
—
ME
01
—
622851
BLUE CROSS OF VIRGINIA
—
Enumeration date
03/17/2006
Last updated
01/23/2012
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