Provider Demographics
NPI:1891739637
Name:PRECISION MEDICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:PRECISION MEDICAL SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTON-WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-224-0462
Mailing Address - Street 1:PO BOX 8126
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-8126
Mailing Address - Country:US
Mailing Address - Phone:757-224-0462
Mailing Address - Fax:757-353-4441
Practice Address - Street 1:400 COPELAND DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-1305
Practice Address - Country:US
Practice Address - Phone:757-224-0462
Practice Address - Fax:757-353-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA181048OtherBCBS PROVIDER #
VA133386OtherOPTIMA PROVIDER #
VA010172845Medicaid
VA181048OtherBCBS PROVIDER #
VA6117390001Medicare NSC