Ultra Healthcare Services Inc

LBN: Ultra Healthcare Services Inc
Ultra Healthcare Services Inc is an health care organization with primary practice located at 21913 Us Hwy 19 N , Clearwater FL 33765. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Ultra Healthcare Services Inc can be contacted via phone (727) 669-5525, or through Damiani, Donna Jean via phone (727) 669-5525.

Contact Information

Primary practice address
21913 Us Hwy 19 N Clearwater FL 33765
Fax: (727) 669-8589
Website:
Authorized official contact:
Name: Damiani, Donna Jean

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X HCC5325 Florida
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X HCC5325 Florida

Profile Details

NPI number 1154428597
LBN Legal business name Ultra Healthcare Services Inc
DBA Doing business as
Authorized official Damiani, Donna Jean
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 17th, 2010 - about 16 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 1154428597 NPPES
Florida MEDICAID 030359300

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