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Sharon Russell
Durable Medical Equipment & Medical Supplies in Fort Defiance, Arizona
NPI 1730467580

Sharon Russell is a Durable Medical Equipment & Medical Supplies based in Fort Defiance, AZ. Sharon Russell practices in Fort Defiance, AZ. The NPI Number for Sharon Russell is 1730467580 and holds a License No. (Arizona).

The current practice location address for Sharon Russell is Route 12 Old Crystal Road On Left, Fort Defiance, AZ and can be reached out via phone at 505-713-2649 and via fax at 180-096-7431.

Location: Route 12 Old Crystal Road On Left, Fort Defiance, AZ, 86504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730467580
Provider Name
Sharon Russell
Credential
Provider Entity Type
Organization
Address
Route 12 Old Crystal Road On Left, Fort Defiance, AZ, 86504
Phone Number
505-713-2649
Fax Number
180-096-7431
Provider Enumeration Date
07/28/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
433145 05 AZ
433145 01 AZ AHCCCS PROVIDER
institution
Provider Business Practice Location Address Details
Address
Route 12 Old Crystal Road On Left
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
505-713-2649
Fax Number
180-096-7431
person
Provider Business Mailing Address Details
Address
Route 12 Old Crystal Road On Left
City
Fort Defiance
State
Arizona
Zip
86504
Phone Number
505-713-2649
Fax Number
180-096-7431
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
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.
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