Organization
PARKER MEDICAL AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILDA GRACE PARKER CASE MANAGER (CEO)
(252) 281-4502
Entity
Organization
Contact information
Practice address
1901 TARBORO ST SW, 206, WILSON, NC 27893-3433
(252) 281-4502
(252) 281-4960
Mailing address
1901 TARBORO ST SW, 206, WILSON, NC 27893-3433
(252) 281-4502
(252) 281-4960
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
302F00000X
Exclusive Provider Organization
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
305S00000X
Point of Service
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
01/22/2010
Last updated
03/26/2010
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