Organization Name: | KROGER LIMITED PARTNERSHIP I |
NPI Number: | 1093749871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATT MINEER (INTERFACE MANAGER) |
Mailing Address: | 3405 Pemberton Square Blvd Vicksburg |
State: | MS US |
Postal Code: | 391805574 |
Phone Number: | 6016383412 |
Fax Number: | 6016383628 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 06/24/2009 |
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 |