Provider Demographics
NPI:1588028112
Name:SAPPHIRE LIFTS AND MOBILITY
Entity Type:Organization
Organization Name:SAPPHIRE LIFTS AND MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HANKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-381-7740
Mailing Address - Street 1:PO BOX 4733
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59806-4733
Mailing Address - Country:US
Mailing Address - Phone:406-381-7740
Mailing Address - Fax:
Practice Address - Street 1:2140 NORTH AVE W
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-5358
Practice Address - Country:US
Practice Address - Phone:406-381-7740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-10
Last Update Date:2016-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies