Provider Demographics
NPI:1720419500
Name:HEALTHCARE REPAIR SERVICE
Entity Type:Organization
Organization Name:HEALTHCARE REPAIR SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-329-6910
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44309-0593
Mailing Address - Country:US
Mailing Address - Phone:330-329-6910
Mailing Address - Fax:
Practice Address - Street 1:1285 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1525
Practice Address - Country:US
Practice Address - Phone:330-329-6910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies