Provider Demographics
NPI:1750574679
Name:SUNSET HEALTH & SAFETY PRODUCTS LLC
Entity type:Organization
Organization Name:SUNSET HEALTH & SAFETY PRODUCTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:O
Authorized Official - Last Name:BEILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-687-0155
Mailing Address - Street 1:BOX 149
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-0149
Mailing Address - Country:US
Mailing Address - Phone:717-687-0155
Mailing Address - Fax:717-687-0901
Practice Address - Street 1:3123 LINCOLN HWY E
Practice Address - Street 2:REAR OF BUILDING
Practice Address - City:PARADISE
Practice Address - State:PA
Practice Address - Zip Code:17562-9648
Practice Address - Country:US
Practice Address - Phone:717-687-0155
Practice Address - Fax:717-687-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5965260002Medicare NSC