Provider Demographics
NPI:1336567593
Name:SAFE BATHTUB INC
Entity Type:Organization
Organization Name:SAFE BATHTUB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-670-2711
Mailing Address - Street 1:3047 HEDDING ST
Mailing Address - Street 2:
Mailing Address - City:ENTIAT
Mailing Address - State:WA
Mailing Address - Zip Code:98822-9713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3047 HEDDING ST
Practice Address - Street 2:
Practice Address - City:ENTIAT
Practice Address - State:WA
Practice Address - Zip Code:98822-9713
Practice Address - Country:US
Practice Address - Phone:509-670-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602977255261QV0200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA