Organization Name: | GINGER-K CENTER |
NPI Number: | 1144499567 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHYLLIS MARIE TUBBS-GINGERICH (OWNER/ADMINISTRATOR) |
Mailing Address: | 16130 Juan Hernandez Dr Suite- 108 Morgan Hill |
State: | CA US |
Postal Code: | 950375527 |
Phone Number: | 4087821028 |
Fax Number: | 4087821061 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 03/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 44990 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |