Organization Name: | SAFEWAY INC |
NPI Number: | 1568498335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RITA CALARA (MANAGED CARE PLAN SPECIALIST) |
Mailing Address: | 415 N Main Ave Aztec |
State: | NM US |
Postal Code: | 874101927 |
Phone Number: | 5053346261 |
Fax Number: | 5053346853 |
NPI Enumeration Date: | 06/24/2006 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PH00002233 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
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 |