Provider Demographics
NPI:1902347636
Name:PC BARGAIN CORPORATION
Entity Type:Organization
Organization Name:PC BARGAIN CORPORATION
Other - Org Name:ST.VERONICA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:DELOS SANTOS
Authorized Official - Last Name:LEGASPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1670-789-8261
Mailing Address - Street 1:PO BOX 505644
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-4323
Mailing Address - Country:US
Mailing Address - Phone:670-234-3377
Mailing Address - Fax:
Practice Address - Street 1:UNIT 4 BUILDING 2 MARIANAS INSURANCE COMPANY
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-4323
Practice Address - Country:US
Practice Address - Phone:670-234-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP186260010-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health