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Agawam Medical Supply Corp
Prosthetic/Orthotic Supplier in Agawam, Massachusetts
NPI 1700958857

Agawam Medical Supply Corp is a Prosthetic/Orthotic Supplier based in Agawam, MA. Agawam Medical Supply Corp practices in Agawam, MA. The NPI Number for Agawam Medical Supply Corp is 1700958857 and holds a License No. (Massachusetts).

The current practice location address for Agawam Medical Supply Corp is 838 Suffield St, Agawam, MA and can be reached out via phone at 413-789-1100 and via fax at 413-786-9201.

Location: 838 Suffield St, Agawam, MA, 01001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700958857
Provider Name
Agawam Medical Supply Corp
Credential
Provider Entity Type
Organization
Address
838 Suffield St, Agawam, MA, 01001
Phone Number
413-789-1100
Fax Number
413-786-9201
Provider Enumeration Date
11/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110029278B 05 MA
1535706 05 MA
003091676 05 CT
355154 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
838 Suffield St
City
Agawam
State
Massachusetts
Zip
01001-2928
Phone Number
413-789-1100
Fax Number
413-786-9201
person
Provider Business Mailing Address Details
Address
838 Suffield St
City
Agawam
State
Massachusetts
Zip
01001-2928
Phone Number
413-789-1100
Fax Number
413-786-9201
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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