Ubn Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

48001521A Issued in IN

Legal business name

UBN CORPORATION

Doing business as

NORTHWEST MEDICAL SUPPLIES

Practice address

100 W 79TH Ave
Merrillville, IN 46410-5439

Phone

(219) 756-6607

Fax

(219) 756-6627

NPI assigned

Nov 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Basil N Ubanwa, N/A

Title

President

Phone

(219) 756-6607

Specialties & licenses 1

Addresses

Other names 1

• NORTHWEST MEDICAL SUPPLIES Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033193560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 79TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105439",
            "telephone_number": "219-756-6607",
            "fax_number": "219-756-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 79TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105439",
            "telephone_number": "219-756-6607",
            "fax_number": "219-756-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UBANWA",
        "authorized_official_first_name": "BASIL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-756-6607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "48001521A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clifton Dale Thompson Turner Jr., MD
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• Patricia E Tyson, RN
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• Gina J Ugo-Neff, PA-C
• Uko Mba Uko, DPT
• Michelle Underwood-Higgins
• United Dental Centers
• United Dental Centers

• Durable Medical Equipment & Medical Supplies in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.