Healthcare Provider Details
I. General information
NPI: 1700207099
Provider Name (Legal Business Name): USA RENTAL & SALES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/03/2014
Last Update Date: 01/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1911 W. 40 HIGHWAY, SUITE A
BLUE SPRINGS MO
64015
US
IV. Provider business mailing address
1911 W. 40 HWY, SUITE A
BLUE SPRINGS MO
64015
US
V. Phone/Fax
- Phone: 816-229-9400
- Fax: 816-229-9402
- Phone: 816-229-9400
- Fax: 816-229-9402
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332000000X |
| Taxonomy | Military/U.S. Coast Guard Pharmacy |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171W00000X |
| Taxonomy | Contractor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
LARRY
JAMES
DOBBS
Title or Position: BUSINESS OWNER
Credential:
Phone: 816-229-9400