Agassiz Healthcare Supply Inc.

LBN: Agassiz Healthcare Supply Inc.
Agassiz Healthcare Supply Inc. is an health care organization with primary practice located at 2573 E 7Th Ave , Flagstaff AZ 86004-3722. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Agassiz Healthcare Supply Inc. can be contacted via phone (928) 522-0507, or through Buckley, Mike via phone (928) 522-0507.

Contact Information

Primary practice address
2573 E 7Th Ave Flagstaff AZ 86004-3722
Phone: (928) 522-0507
Fax: (928) 522-9324
Website:
Map and Directions
Authorized official contact:
Name: Buckley, Mike
Phone: (928) 522-0507

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 03029785 Arizona

Profile Details

NPI number 1629032495
LBN Legal business name Agassiz Healthcare Supply Inc.
DBA Doing business as
Authorized official Buckley, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629032495 NPPES
Arizona MEDICAID 455172

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