Provider Demographics
NPI:1861657769
Name:PINNACLE MEDICAL SUPPLY
Entity Type:Organization
Organization Name:PINNACLE MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BEAUDETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-342-3971
Mailing Address - Street 1:195 MARSHALL STREET
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-2413
Mailing Address - Country:US
Mailing Address - Phone:978-342-3971
Mailing Address - Fax:
Practice Address - Street 1:195 MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-2413
Practice Address - Country:US
Practice Address - Phone:978-342-3971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies