Provider Demographics
NPI:1396852539
Name:OSCAR BAIL & SON, INC.
Entity Type:Organization
Organization Name:OSCAR BAIL & SON, INC.
Other - Org Name:BAIL'S CUSTOM FOOTCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAIL
Authorized Official - Suffix:
Authorized Official - Credentials:CPED
Authorized Official - Phone:413-532-7555
Mailing Address - Street 1:130 COLLEGE ST
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1493
Mailing Address - Country:US
Mailing Address - Phone:413-532-7555
Mailing Address - Fax:413-532-1575
Practice Address - Street 1:130 COLLEGE ST
Practice Address - Street 2:SUITE 225
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1493
Practice Address - Country:US
Practice Address - Phone:413-532-7555
Practice Address - Fax:413-532-1575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1544152Medicaid
MA1544152Medicaid