| Organization Name: | RAPHAEL MEDICAL COMPANY, LLC |
| NPI Number: | 1659404739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS D. HAMM (PRESIDENT) |
| Mailing Address: | 13660 N 94th Dr Suite A4 Peoria |
| State: | AZ US |
| Postal Code: | 853814836 |
| Phone Number: | 4803485504 |
| Fax Number: | 6025488793 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |