Organization
SLATE BELT MEDICAL EQUIPMENT & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN S FLAIM (PRESIDENT)
(610) 863-9157
Entity
Organization
Contact information
Practice address
457 BLUE VALLEY DR, BANGOR, PA 18013-1513
(610) 863-9157
(610) 863-5698
Mailing address
457 BLUE VALLEY DR, BANGOR, PA 18013-1513
(610) 863-9157
(610) 863-5698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007378107
AETNA
—
05
—
0017379800001
—
PA
01
—
1543507
GATEWAY
—
01
—
39HA75
CAPITAL BLUE
—
01
—
A36545334
OXFORD
—
Enumeration date
03/21/2006
Last updated
08/22/2020
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