DEACON'S MEDICAL EQUIPMENT
Dialysis Equipment and Supplies
Colfax, Washington
Provider NPI: 1568475408
Organization Information:Organization Name: DEACON'S MEDICAL EQUIPMENT
Practice Location:
118 N. MAIN ST. COLFAX, WA 99111 US
Tel: 509-397-3345 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:
118 N. MAIN ST. COLFAX, WA 99111 US
Tel: 509-397-3345 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | WA | 601678679 |
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | WA | 601678679 |
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | WA | 601678679 |
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | WA | 601678679 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
805724000 | ID | 05 | |
9041864 | WA | 05 | |
9009283 | WA | 05 | |
9041856 | WA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin