Organization Name: | LINCARE INC. |
NPI Number: | 1043408560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN NANNIE (AUTHORIZED OFFICIAL) |
Mailing Address: | 428 W 3rd St Unit 2 Moscow |
State: | ID US |
Postal Code: | 838432284 |
Phone Number: | 2088821847 |
Fax Number: | 2088821910 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |