AGAWAM MEDICAL SUPPLY CORP
Medical Equipment Supplier Yellow Pages
Agawam, Massachusetts
Provider NPI: 1700958857
Organization Information:Organization Name: AGAWAM MEDICAL SUPPLY CORP
Practice Location:
838 SUFFIELD ST AGAWAM, MA 01001 US
Tel: 413-789-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
838 SUFFIELD ST AGAWAM, MA 01001 US
Tel: 413-789-1100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 335E00000X | Suppliers Prosthetic/Orthotic Supplier | ||
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
003091676 | CT | 05 | |
1535706 | MA | 05 | |
110029278B | MA | 05 | |
BCBS | 355154 | MA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin