Agawam Medical Supply Corp in Agawam - Prosthetic/orthotic Supplier
Agawam Medical Supply Corp - NPI 1700958857
Agawam Medical Supply Corp is a Prosthetic/orthotic Supplier in Agawam, Massachusetts. Agawam Medical Supply Corp practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Agawam Medical Supply Corp is 1700958857. The last update date is 2021-11-09.
Agawam Medical Supply Corp's current location address is 56 Abrams Drive, Agawam, Massachusetts. You can contact this provider via phone number 4137891100 and fax number 4137869201. The mailing address for Agawam Medical Supply Corp is 56 Abrams Drive, Agawam, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Agawam Medical Supply Corp |
|---|---|
| Address | 56 Abrams Drive, Agawam, Massachusetts |
| Phone Number | 4137891100 |
| Fax Number | 4137869201 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Saracino Dean Anthony |
| Telephone Number | 4137891100 |
NPI Number Detail
| NPI Number | 1700958857 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2021-11-09 |
Provider Mailing Address Detail
| Address | 56 Abrams Drive |
|---|---|
| City | Agawam |
| State | Massachusetts (MA) |
| Post Code | 1001 |
| Phone Number | 4137891100 |
| Fax Number | 4137869201 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110029278B | MA | -- | |
| 1535706 | MA | -- | |
| 3091676 | CT | -- | |
| 355154 | MA | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Agawam Medical Supply Corp by the Centers for Medicare & Medicaid Services?
The Agawam Medical Supply Corp has been issued the NPI (National Provider Identifier) 1700958857. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Agawam Medical Supply Corp is geographically located?
The Agawam Medical Supply Corp is physically situated at the following location: 56 Abrams Drive, Agawam, MA, 1001.
What is Agawam Medical Supply Corp's area of expertise and its corresponding taxonomy classification?
The Agawam Medical Supply Corp's field of specialization is Prosthetic/orthotic Supplier, and it falls under the taxonomy code 335E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700958857 to Agawam Medical Supply Corp?
The Centers for Medicare & Medicaid Services originally issued the 1700958857 to Agawam Medical Supply Corp on 2006-11-14.
As of what date were the details related to Agawam Medical Supply Corp most recently updated or revised?
The information pertaining to Agawam Medical Supply Corp, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-09.