Organization Name: | SAGE MEDICAL SUPPLY |
NPI Number: | 1720013691 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENDA K HATCHER (OWNER) |
Mailing Address: | 2 S. Third St. Harrington |
State: | WA US |
Postal Code: | 991340072 |
Phone Number: | 5092534670 |
Fax Number: | 5092534675 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |