1346689023 NPI number — LINDBERG-TURNER MEDICAL EQUIPMENT

Table of content: (NPI 1346689023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346689023 NPI number — LINDBERG-TURNER MEDICAL EQUIPMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINDBERG-TURNER MEDICAL EQUIPMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346689023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
315 MISSION ST SE
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SALEM
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97302-6231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-689-1597
Provider Business Mailing Address Fax Number:
503-990-6308

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
947 GEARY ST SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97322-4904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-286-4279
Provider Business Practice Location Address Fax Number:
541-286-4523
Provider Enumeration Date:
06/17/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TURNER
Authorized Official First Name:
ANNE
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT / OWNER
Authorized Official Telephone Number:
503-689-1597

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 500678384 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".