Organization Name: | HYPERBARIC MEDICINE GROUP, INC |
NPI Number: | 1316295157 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IAN KEITH COOK (PRESIDENT) |
Mailing Address: | 4100 Sion Farm Commercial Center Suite 8 Christiansted |
State: | VI US |
Postal Code: | 008204433 |
Phone Number: | 3407138400 |
Fax Number: | 3407137280 |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 08/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 2192291L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |