Organization Name: | SPARTAN MEDICAL SUPPLY |
NPI Number: | 1073523163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM R GRASSL (MEMBER) |
Mailing Address: | 8849 Pine Island Court South Mattawan |
State: | MI US |
Postal Code: | 490719570 |
Phone Number: | 2696686066 |
Fax Number: | 2699240675 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |