Organization Name: | WAL-MART STORES, INC. |
NPI Number: | 1104002534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANNA PAINTER (TP ENROLLMENT SPECIALIST) |
Mailing Address: | 912 11th Street East Bottineau |
State: | ND US |
Postal Code: | 58318 |
Phone Number: | 7012285930 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2008 |
NPI Last Update Date: | 02/06/2009 |
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 |