Organization
MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN BAILEY (PRESIDENT)
(360) 563-2156
Entity
Organization
Contact information
Practice address
131 CEDAR AVE, SNOHOMISH, WA 98290-2955
(360) 563-9500
(360) 568-0937
Mailing address
131 CEDAR AVE, SNOHOMISH, WA 98290-2955
(360) 563-9500
(360) 568-0937
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0112953
L & I
WA
01
—
611533800
US DEPT. OF LABOR
WA
01
—
872882
D.D.D.
WA
05
—
9037920
—
WA
05
—
9037938
—
WA
05
—
9050139
—
WA
Enumeration date
11/07/2006
Last updated
06/19/2013
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