Organization Name: | PUGET SOUND MEDICAL |
NPI Number: | 1376604124 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT BARRETT (OWNER) |
Mailing Address: | 3202 20th St E Fife |
State: | WA US |
Postal Code: | 984241713 |
Phone Number: | 2532840909 |
Fax Number: | 2532840913 |
NPI Enumeration Date: | 12/13/2006 |
NPI Last Update Date: | 01/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 602174947 |
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 |