Organization Name: | SAFEWAY INC |
NPI Number: | 1053557801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE RIVERS (MANAGED CARE PLAN SPECIALIST) |
Mailing Address: | 1900 Woodland Dr Coos Bay |
State: | OR US |
Postal Code: | 974202045 |
Phone Number: | 5412667542 |
Fax Number: | 5412667638 |
NPI Enumeration Date: | 12/29/2008 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |