Organization Active NPI

Between Four Walls Corp

  • Durable Medical Equipment & Medical Supplies
  • Bradford, PA
National Provider Identifier
1790280576
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BETWEEN FOUR WALLS CORP
Practice address
540 E Main St
Bradford, PA 16701-1862
Phone
(814) 368-3115
Fax
(814) 368-3115
NPI assigned
Mar 26, 2018
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Darla R Oaks
Title
President
Phone
(814) 368-3115

Specialties & licenses 1

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

Addresses

Primary practice location

540 E Main St
Bradford, PA 16701-1862

Mailing address

540 E Main St
Bradford, PA 16701-1862
Phone (814) 368-3115

National Provider Directory

National Provider Directory

Locations

540 E Main St
Bradford, PA 16701
Phone (814) 368-3115

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1790280576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011862",
            "telephone_number": "814-368-3115",
            "fax_number": "814-368-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011862",
            "telephone_number": "814-368-3115",
            "fax_number": "814-368-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETWEEN FOUR WALLS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "OAKS",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-368-3115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.