MEDICARE: SMART MEDICAL SUPPLIES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	603192426	WA

General Provider Information

NPI Number	:	1518225465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMART MEDICAL SUPPLIES INC.

Provider Business Mailing Address
First Line	:	1568 S ANGELINE ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1952
Country	:	US
Telephone Number	:	206-992-1905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1568 S ANGELINE ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1952
Country	:	US
Telephone Number	:	206-992-1905
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARYANN FRANCISCO
Credential	:
Telephone Number	:	206-992-1905

Provider Enumeration Date	:	04/29/2012
Last Update Date	:	04/29/2012

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