Organization Active NPI

Progressive Medical Inc.

  • Customized Equipment (DME)
  • Harrisburg, PA
National Provider Identifier
1790866903
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
83230880 Issued in PA
Legal business name
PROGRESSIVE MEDICAL INC.
Practice address
1442 Vernon St
Harrisburg, PA 17104-1181
Phone
(717) 441-6314
Fax
(717) 441-2293
NPI assigned
Oct 17, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Carl Naylor
Title
Owner
Phone
(717) 554-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 83230880 PA Primary

Addresses

Primary practice location

1442 Vernon St
Harrisburg, PA 17104-1181

Mailing address

1442 Vernon St
Harrisburg, PA 17104-1181
Phone (717) 441-6314

Other identifiers 1

IdentifierTypeStateIssuer
162714MedicaidPA

National Provider Directory

National Provider Directory

Locations

1442 Vernon St
Harrisburg, PA 17104
Phone (717) 441-6314

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1790866903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 VERNON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041181",
            "telephone_number": "717-441-6314",
            "fax_number": "717-441-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 VERNON ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041181",
            "telephone_number": "717-441-6314",
            "fax_number": "717-441-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-554-4167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "83230880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.