Organization
EAGLE MEDICAL EQUIPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAISTA HASAN (PRESIDENT)
(724) 218-1051
Entity
Organization
Contact information
Practice address
5944 STEUBENVILLE PIKE, MC KEES ROCKS, PA 15136-1315
(724) 218-1051
(724) 218-1165
Mailing address
5944 STEUBENVILLE PIKE, MC KEES ROCKS, PA 15136-1315
(724) 218-1051
(724) 218-1165
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000008451
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023308950001
—
PA
Enumeration date
04/21/2009
Last updated
04/04/2014
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