Agawam Medical Supply Corp
LBN: Agawam Medical Supply Corp
Agawam Medical Supply Corp is an health care organization with primary practice located at 56 Abrams Drive , Agawam MA 01001. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Agawam Medical Supply Corp can be contacted via phone (413) 789-1100, or through Saracino, Anthony Dean via phone (413) 789-1100.
Contact Information
Primary practice address
56 Abrams Drive
Agawam MA 01001
Phone: (413) 789-1100
Fax: (413) 786-9201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1700958857 |
|---|---|
| LBN Legal business name | Agawam Medical Supply Corp |
| DBA Doing business as | |
| Authorized official | Saracino, Anthony Dean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jul 9th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700958857 | NPPES |
| Massachusetts | Other | 355154 | BCBS |
| Massachusetts | MEDICAID | 003091676 | BCBS |
| Massachusetts | MEDICAID | 110029278B | BCBS |
| Massachusetts | MEDICAID | 1535706 | BCBS |
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