DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SAFEWAY INC

MEDICARE: SAFEWAY 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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyRP-0001808-CSOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12079058OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922037977
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAFEWAY INC
Provider Business Mailing Address
First Line : 250 E PARKCENTER BLVD
Second Line :
City : BOISE
State : ID
Zip : 83706-3940
Country : US
Telephone Number : 208-395-3963
Fax Number : 623-336-6896
Provider Business Practice Location Address
First Line : 5270 SW PHILOMATH BLVD
Second Line :
City : CORVALLIS
State : OR
Zip : 97333-1042
Country : US
Telephone Number : 541-738-2106
Fax Number : 541-738-2108
Authorized Official
Title or Position : ENROLLMENTS MANAGER
Name : KATHY GIANNAKOPOULOS
Credential :
Telephone Number : 208-395-3954
Provider Enumeration Date : 07/02/2006
Last Update Date : 04/01/2020

Similar Medicare Providers

1073593422 — DR. JANET CHANG D.O.
Practice Location Address:
5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-768-4970
Practice Fax:
1861451916 — DR. TIMOTHY UENG MD
Practice Location Address:
5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-768-4970
Practice Fax:
1386603116 — SUNSET DENTAL
Practice Location Address:
5208 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-766-8000
Practice Fax: 541-766-4667
1427018027 — MR. WILLIAM H WRIGHT PAC
Practice Location Address:
5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-768-4970
Practice Fax:
1073560876 — DR. BRENT C. WESENBERG MD
Practice Location Address:
5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-768-4970
Practice Fax:
1205872298 — MS. NANCY J. VANASCHE MSN, FNP-C
Practice Location Address:
5234 SW PHILOMATH BLVD
CORVALLIS, OR
97333-1042
Practice Phone: 541-768-4970
Practice Fax:

Directions to “SAFEWAY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.