Provider Demographics
NPI:1124218383
Name:MARLEN MFG. & DEVELOPMENT COMPANY
Entity Type:Organization
Organization Name:MARLEN MFG. & DEVELOPMENT COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:H
Authorized Official - Last Name:FENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-292-7060
Mailing Address - Street 1:5150 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1331
Mailing Address - Country:US
Mailing Address - Phone:216-292-7060
Mailing Address - Fax:216-292-9196
Practice Address - Street 1:5150 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-1331
Practice Address - Country:US
Practice Address - Phone:216-292-7060
Practice Address - Fax:216-292-9196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0303410001Medicare PIN
0303410001Medicare NSC