Provider Demographics
NPI:1427457902
Name:ACUTE ALTERNATIVE SLEEP CENTER LLC
Entity type:Organization
Organization Name:ACUTE ALTERNATIVE SLEEP CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-772-2883
Mailing Address - Street 1:4000 RUBY PLZ STE 1
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-4414
Mailing Address - Country:US
Mailing Address - Phone:340-772-2883
Mailing Address - Fax:340-772-2882
Practice Address - Street 1:4000 RUBY PLZ STE 1
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4414
Practice Address - Country:US
Practice Address - Phone:340-772-2883
Practice Address - Fax:340-772-2883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUTE ALTERNATIVE MEDICAL GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-20
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic