Provider Demographics
NPI:1922174614
Name:CRS MEDICAL SALES & SERVICES L.L.C.
Entity Type:Organization
Organization Name:CRS MEDICAL SALES & SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-760-8015
Mailing Address - Street 1:619 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SLATINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18080-1421
Mailing Address - Country:US
Mailing Address - Phone:610-760-8015
Mailing Address - Fax:610-760-8016
Practice Address - Street 1:619 MAIN ST
Practice Address - Street 2:
Practice Address - City:SLATINGTON
Practice Address - State:PA
Practice Address - Zip Code:18080-1421
Practice Address - Country:US
Practice Address - Phone:610-760-8015
Practice Address - Fax:610-760-8016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4528090001Medicare NSC