Organization Name: | FOUR B CORP |
NPI Number: | 1396851762 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA MARTIN (3RD PARTY ADMIN.) |
Mailing Address: | 2774 W 53rd Street Fairway |
State: | KS US |
Postal Code: | 66205 |
Phone Number: | 9132364983 |
Fax Number: | 9136771867 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |