Organization Name: | SHIELD CALIFORNIA HEALTH CARE CENTER, INC. |
NPI Number: | 1063656320 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAREN DICKERSON (CFO) |
Mailing Address: | 615 Strander Blvd Tukwila |
State: | WA US |
Postal Code: | 981882922 |
Phone Number: | 2065757837 |
Fax Number: | 2065756765 |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 09-1717 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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 |