Provider Demographics
NPI:1154455830
Name:AARO MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:AARO MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-532-2222
Mailing Address - Street 1:2222 SIMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-3514
Mailing Address - Country:US
Mailing Address - Phone:360-532-2222
Mailing Address - Fax:360-533-4320
Practice Address - Street 1:2222 SIMPSON AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-3514
Practice Address - Country:US
Practice Address - Phone:360-532-2222
Practice Address - Fax:360-533-4320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600404826332B00000X, 332BC3200X, 332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9100009Medicaid
WA011669001OtherGROUP HEALTH
WA14596OtherLABOR & INDUSTRIES
WA9016072Medicaid
WA9034190Medicaid
WA011669001OtherGROUP HEALTH