Organization
BARBARA J MANTHA
Active
Other names
Home Medical Equipment and Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JUNE MANTHA (OWNER)
(541) 265-5581
Entity
Organization
Contact information
Practice address
644 SW COAST HWY STE B, NEWPORT, OR 97365-5051
(541) 265-5581
(541) 265-5264
Mailing address
PO BOX 1173, NEWPORT, OR 97365
(541) 265-5581
(541) 265-5264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NPC-0001856
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500646786
—
OR
01
—
6695420001
MEDICARE PTAN
—
Enumeration date
06/04/2012
Last updated
02/13/2014
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