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Contact Information

SAAGERS SHOE SHOP INC
613 N MAIN ST
MILTON-FREEWATER, OR97862-1727
 Phone: 541-938-5162
 Fax: 541-938-3148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SAAGERS SHOE SHOP INC

NPI # 1477613842
LBN Legal business name SAAGERS SHOE SHOP INC
Authorized official NORMAN SAAGER - (TRUSTEE)
Entity Organization
Organization subpart 1 No
Enumeration date 12/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
OR Medicaid 167767
WA Medicaid 9021379
WA Other 82828 LABOR & INDUSTRIES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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