Provider Demographics
NPI:1114186103
Name:SAFETY MEDICAL SERVICES
Entity Type:Organization
Organization Name:SAFETY MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-326-5478
Mailing Address - Street 1:2630 E MOHAWK LN
Mailing Address - Street 2:SUITE 128
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4637
Mailing Address - Country:US
Mailing Address - Phone:602-845-3000
Mailing Address - Fax:602-626-8011
Practice Address - Street 1:2630 E MOHAWK LN
Practice Address - Street 2:SUITE 128
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4635
Practice Address - Country:US
Practice Address - Phone:480-326-5478
Practice Address - Fax:602-889-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies