Organization
SIERRA VISTA REGIONAL HEALTH CENTER INC
Active
Other names
Sierra Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE NORTON CPA (CFO)
(520) 417-3001
Entity
Organization
Contact information
Practice address
1967 FRONTAGE RD, SIERRA VISTA, AZ 85635-4606
(520) 452-3864
(520) 452-0466
Mailing address
1967 FRONTAGE RD, SIERRA VISTA, AZ 85635-4606
(520) 452-3864
(520) 452-0466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AZ
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
AZ
332BX2000X
Oxygen Equipment & Supplies (DME)
—
AZ
Other
Enumeration date
06/26/2006
Last updated
10/09/2007
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