Healthcare Provider Details
I. General information
NPI: 1124050398
Provider Name (Legal Business Name): HEALTHFIELD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2080 RONALD REAGAN BLVD SUITE 600
CUMMING GA
30041-0202
US
IV. Provider business mailing address
12900 FOSTER ST SUITE 400
OVERLAND PARK KS
66213-2649
US
V. Phone/Fax
- Phone: 770-889-8120
- Fax: 770-889-8608
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BP3500X |
| Taxonomy | Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUTH
SCHWARTZ
Title or Position: DIRECTOR LICENSURE
Credential:
Phone: 913-814-2288