Healthcare Provider Details
I. General information
NPI: 1902903271
Provider Name (Legal Business Name): HARRINGTON SUPPLY CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/20/2006
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 W COLUMBIA DR
KENNEWICK WA
99336-3659
US
IV. Provider business mailing address
3 W COLUMBIA DR
KENNEWICK WA
99336-3659
US
V. Phone/Fax
- Phone: 509-582-9494
- Fax: 509-582-4394
- Phone: 509-582-9494
- Fax: 509-582-4394
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | WA |
VIII. Authorized Official
Name: MRS.
JOANNA
M
HARRINGTON
Title or Position: OWNER
Credential:
Phone: 509-582-9494