Provider Demographics
NPI:1235505314
Name:BEECH TREE LLC
Entity Type:Organization
Organization Name:BEECH TREE LLC
Other - Org Name:URGENT MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PINNACLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANAGEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-498-6111
Mailing Address - Street 1:6929 N HAYDEN RD
Mailing Address - Street 2:SUITE C4-220
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-7978
Mailing Address - Country:US
Mailing Address - Phone:480-498-6111
Mailing Address - Fax:
Practice Address - Street 1:9332 N 95TH WAY STE 209
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5536
Practice Address - Country:US
Practice Address - Phone:480-498-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies