Slate River Enterprises

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2705090728 Issued in VA

Legal business name

SLATE RIVER ENTERPRISES

Practice address

8954 S Constitution Rte
Scottsville, VA 24590-5424

Phone

(434) 996-2897

NPI assigned

May 26, 2014

Organization subpart

No

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

Authorized official

Name

Michael Fraticelli

Title

Sole Proprietor

Phone

(434) 996-2897

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401062400000",
    "number": "1700298742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 S CONSTITUTION RTE",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245905424",
            "telephone_number": "434-996-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 S CONSTITUTION RTE",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245905424",
            "telephone_number": "434-996-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATE RIVER ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-26",
        "last_updated": "2014-05-26",
        "status": "A",
        "authorized_official_last_name": "FRATICELLI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "434-996-2897"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "2705090728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PROFESSIONAL AND OCCUPATIONAL REGULATION",
            "identifier": "2705090728",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Scottsville, VA
• Providers in Scottsville, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2014; 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.