Provider Demographics
NPI:1639995061
Name:BRIDGE PURCHASING SOLUTIONS INC
Entity type:Organization
Organization Name:BRIDGE PURCHASING SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/GM
Authorized Official - Prefix:
Authorized Official - First Name:DANI
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-253-5667
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72757-0454
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1525 11TH AVE FL 3 STE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122
Practice Address - Country:US
Practice Address - Phone:888-253-5667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier
No174200000XOther Service ProvidersMeals
No332U00000XSuppliersHome Delivered Meals