Boardman Medical Supply Co
Durable Medical Equipment & Medical Supplies in Canton, OH. Organization (NPI-2).
NPI number1164582748
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1164582748
- Entity type
- Organization (NPI-2)
- Legal business name
- Boardman Medical Supply Co
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | OH | Yes |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Practice location
1204 30th St NwCanton, OH 44709-2923
Phone 330-492-4300 · Fax 330-492-7886
Mailing address
300 N State StGirard, OH 44420-2538
Phone 330-545-6700 · Fax 330-545-5555
Authorized official
Robin S Ivany
Vice President/Gm
3305456700
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All 29 Durable Medical Equipment & Medical Supplies providers in Canton · All 7,232 providers in Canton
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