Organization
SAGE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDA K HATCHER (OWNER)
(509) 253-4670
Entity
Organization
Contact information
Practice address
2 S. THIRD ST., HARRINGTON, WA 99134-0072
(509) 253-4670
(509) 253-4675
Mailing address
2 S. THIRD ST., HARRINGTON, WA 99134-0072
(509) 253-4670
(509) 253-4675
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9057845
—
WA
Enumeration date
07/11/2006
Last updated
09/11/2025
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