Provider Demographics
NPI:1285965780
Name:PARKER MEDICAL AGENCY
Entity type:Organization
Organization Name:PARKER MEDICAL AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:CASE MANAGER
Authorized Official - Phone:252-281-4502
Mailing Address - Street 1:1901 TARBORO ST SW
Mailing Address - Street 2:206
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-3433
Mailing Address - Country:US
Mailing Address - Phone:252-281-4502
Mailing Address - Fax:252-281-4960
Practice Address - Street 1:1901 TARBORO ST SW
Practice Address - Street 2:206
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-3433
Practice Address - Country:US
Practice Address - Phone:252-281-4502
Practice Address - Fax:252-281-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No305S00000XManaged Care OrganizationsPoint of Service
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No333300000XSuppliersEmergency Response System Companies