Organization Name: | HEALTHCARE INDEPENDENT BUSINESS ALLIANCE, LLC |
NPI Number: | 1013000785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAN B. LAJOIE (VICE PRESIDENT) |
Mailing Address: | 444 W 21st St Suite 102 Tempe |
State: | AZ US |
Postal Code: | 852822056 |
Phone Number: | 4808293427 |
Fax Number: | 4808359104 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 09/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |