Provider Demographics
NPI:1336814102
Name:319 RAMPS & ACCESSIBILITY, LLC
Entity Type:Organization
Organization Name:319 RAMPS & ACCESSIBILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:STANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-830-9042
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:IA
Mailing Address - Zip Code:50648-0507
Mailing Address - Country:US
Mailing Address - Phone:319-830-9042
Mailing Address - Fax:319-827-6246
Practice Address - Street 1:1135 5TH ST
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:IA
Practice Address - Zip Code:50648-1121
Practice Address - Country:US
Practice Address - Phone:319-830-9042
Practice Address - Fax:319-827-6246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment