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GILA RIVER HEALTH CARE CORPORATION DME NPI 1104980911


NPI Information

NPI: 1104980911
Provider Name: GILA RIVER HEALTH CARE CORPORATION DME

Doing Business As: DME DIVISION

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
483 WEST SEED FARM RD
GILA RIVER HEALTH CARE CORPORATION
SACATON, AZ
ZIP 85247
Phone: (888) 484-8526
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GILA RIVER HEALTH CARE CORPORATION DME is a durable medical equipment medical supplies in Sacaton, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GILA RIVER HEALTH CARE CORPORATION DME NPI is 1104980911. The provider is registered as an organization entity type.
The provider Is Doing Business As Dme Division.

The provider's business location address is:

483 WEST SEED FARM RD
GILA RIVER HEALTH CARE CORPORATION
SACATON, AZ
ZIP 85247-038
Phone: (888) 484-8526
Fax: (602) 528-1245

The provider's authorized official is Loren P. Ellory .
The authorized official title is C.e.o. and has the following contact phone number (602) 528-1431.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies07-488076NARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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