Provider Demographics
NPI: | 1689173502 |
---|---|
Name: | PURPLE COMMUNICATIONS, INC |
Entity type: | Organization |
Organization Name: | PURPLE COMMUNICATIONS, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CENTER MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MOSES |
Authorized Official - Middle Name: | AARON |
Authorized Official - Last Name: | MCINTOSH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MED |
Authorized Official - Phone: | 800-900-9478 |
Mailing Address - Street 1: | 595 MENLO DR |
Mailing Address - Street 2: | |
Mailing Address - City: | ROCKLIN |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95765-3708 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 800-900-9478 |
Mailing Address - Fax: | 855-236-3949 |
Practice Address - Street 1: | 3320 W MARKET ST STE 102 |
Practice Address - Street 2: | |
Practice Address - City: | FAIRLAWN |
Practice Address - State: | OH |
Practice Address - Zip Code: | 44333-3306 |
Practice Address - Country: | US |
Practice Address - Phone: | 800-900-9478 |
Practice Address - Fax: | 855-236-3949 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-02-06 |
Last Update Date: | 2018-02-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 171R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171R00000X | Other Service Providers | Interpreter | Group - Single Specialty |