Organization Active NPI

Dice Surgical and Home Health Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Williamsport, PA
National Provider Identifier
1376649590
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8000000476 Issued in PA
Legal business name
DICE SURGICAL AND HOME HEALTH CENTER, INC.
Practice address
1300 Sheridan St
Suite 2
Williamsport, PA 17701-3760
Phone
(570) 322-0656
Fax
(570) 322-0659
NPI assigned
Sep 15, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Mr. Philip James Marrie
Title
Vice President
Phone
(570) 322-0656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8000000476 PA Primary

Addresses

Primary practice location

1300 Sheridan St
Suite 2
Williamsport, PA 17701-3760

Mailing address

1300 Sheridan St
Suite 2
Williamsport, PA 17701-3760
Phone (570) 322-0656

Other identifiers 1

IdentifierTypeStateIssuer
0012289830003MedicaidPA

National Provider Directory

National Provider Directory

Locations

1300 Sheridan St
Ste 2
Williamsport, PA 17701
Phone (570) 322-0656

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1376649590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SHERIDAN ST",
            "address_2": "SUITE 2",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013760",
            "telephone_number": "570-322-0656",
            "fax_number": "570-322-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SHERIDAN ST",
            "address_2": "SUITE 2",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013760",
            "telephone_number": "570-322-0656",
            "fax_number": "570-322-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICE SURGICAL AND HOME HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "MARRIE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-322-0656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "8000000476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012289830003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.