Organization Name: | TRI STATE MEDICAL SUPPLY |
NPI Number: | 1336577857 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEIGH ANN YUNGMANN (GENERAL MANAGER) |
Mailing Address: | 1255 N Scott St Ste 340 Napoleon |
State: | OH US |
Postal Code: | 435451060 |
Phone Number: | 4195992273 |
Fax Number: | 4195992277 |
NPI Enumeration Date: | 10/18/2013 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |