<Unavail>

LBN: Hook-Superx Llc
<Unavail> is an health care organization with primary practice located at 770 E Dupont Rd , Fort Wayne IN 46825-2056. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hook-Superx Llc can be contacted via phone (260) 451-8242, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
770 E Dupont Rd Fort Wayne IN 46825-2056
Phone: (260) 451-8242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1104257146
LBN Legal business name Hook-Superx Llc
DBA Doing business as <Unavail>
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2013
Last updated Apr 22nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104257146 NPPES
Other 1564966 NCPDP
MEDICAID 201213420A NCPDP

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