Organization Name: | BRADEN PARTNERS LP |
NPI Number: | 1073549374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YVONNE M CORDOZA (SVP CUSTOMER CARE) |
Mailing Address: | 486 E St Coos Bay |
State: | OR US |
Postal Code: | 974204340 |
Phone Number: | 5417567172 |
Fax Number: | 5417562991 |
NPI Enumeration Date: | 06/25/2006 |
NPI Last Update Date: | 12/12/2008 |
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: |