Provider Demographics
NPI:1801946017
Name:HARRINGTON SURGICAL SUPPLY INC
Entity type:Organization
Organization Name:HARRINGTON SURGICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:MARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-723-6541
Mailing Address - Street 1:53 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9333
Mailing Address - Country:US
Mailing Address - Phone:406-723-6541
Mailing Address - Fax:406-723-3724
Practice Address - Street 1:53 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-9333
Practice Address - Country:US
Practice Address - Phone:406-723-6541
Practice Address - Fax:406-723-3724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0566046Medicaid
MT0640322Medicaid
MT0566046Medicaid