Provider Demographics
NPI:1225272685
Name:MUTUAL CONTRACT SERVICES LLC
Entity Type:Organization
Organization Name:MUTUAL CONTRACT SERVICES LLC
Other - Org Name:MUTUAL COOPERATIVE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:360-373-0168
Mailing Address - Street 1:1740 NE RIDDELL RD
Mailing Address - Street 2:STE 301
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3681
Mailing Address - Country:US
Mailing Address - Phone:360-373-0168
Mailing Address - Fax:360-373-0311
Practice Address - Street 1:1740 NE RIDDELL RD
Practice Address - Street 2:STE 301
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3681
Practice Address - Country:US
Practice Address - Phone:360-373-0168
Practice Address - Fax:360-373-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies