Organization Name: | PHOENIX MEDICAL SUPPLY, LLC |
NPI Number: | 1245246560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM MCMORROW (OWNER) |
Mailing Address: | 300 Hudson St Hackensack |
State: | NJ US |
Postal Code: | 076016750 |
Phone Number: | 2013430066 |
Fax Number: | 2014419115 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |