Organization Name: | PERFORMANCE MODALITIES, INC. |
NPI Number: | 1982087417 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET MARIE WALLACE (VP OF BUSINESS ADMINISTRATION) |
Mailing Address: | 515 N Neel St Suite 109 Kennewick |
State: | WA US |
Postal Code: | 993362256 |
Phone Number: | 5093969377 |
Fax Number: | 5093969329 |
NPI Enumeration Date: | 07/01/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |