Organization Name: | ATV MEDICAL SUPPLY |
NPI Number: | 1215253919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN VANVALKENBURG (OWNER) |
Mailing Address: | 24603 E Sunset Meadows Loop Kennewick |
State: | WA US |
Postal Code: | 993387480 |
Phone Number: | 5094384663 |
Fax Number: | 8667146434 |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 602975388 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |