Provider Demographics
NPI:1609940683
Name:BETA NURSING & MEDICAL EQUIPMENT SERVICES INC.
Entity Type:Organization
Organization Name:BETA NURSING & MEDICAL EQUIPMENT SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:CHINWE
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-412-5506
Mailing Address - Street 1:6721 44TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98443-1918
Mailing Address - Country:US
Mailing Address - Phone:206-412-5506
Mailing Address - Fax:253-926-8811
Practice Address - Street 1:6721 44TH AVE E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98443-1918
Practice Address - Country:US
Practice Address - Phone:206-412-5506
Practice Address - Fax:253-926-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0167906OtherLABOR & INDUSTRIES PROVID
WA9053398Medicaid
WA0167906OtherLABOR & INDUSTRIES PROVID