Provider Demographics
NPI:1447291406
Name:UNITED HEALTHCARE PRODUCTS, LLC
Entity type:Organization
Organization Name:UNITED HEALTHCARE PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENDRICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-936-3274
Mailing Address - Street 1:PO BOX 130
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-0130
Mailing Address - Country:US
Mailing Address - Phone:215-653-8311
Mailing Address - Fax:215-653-8143
Practice Address - Street 1:2105 NEWPOINT PL
Practice Address - Street 2:SUITE 600-U
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-1705
Practice Address - Country:US
Practice Address - Phone:800-249-1597
Practice Address - Fax:866-804-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4235780003Medicare NSC