Provider Demographics
NPI:1619606613
Name:HARNEY MEDICAL SUPPLIES INC.
Entity Type:Organization
Organization Name:HARNEY MEDICAL SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JAYDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-701-9491
Mailing Address - Street 1:4926 S COAST HWY # 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97366-9646
Mailing Address - Country:US
Mailing Address - Phone:541-961-2871
Mailing Address - Fax:
Practice Address - Street 1:4909 S COAST HWY
Practice Address - Street 2:STE 365
Practice Address - City:SOUTH BEACH
Practice Address - State:OR
Practice Address - Zip Code:97366
Practice Address - Country:US
Practice Address - Phone:541-961-2871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies