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Contact Information

COPPER STAR MEDICAL SUPPLY
14175 W INDIAN SCHOOL RD STE 8
GOODYEAR, AZ85395-8407
 Phone: 623-303-7724
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for COPPER STAR MEDICAL SUPPLY

NPI # 1477276681
LBN Legal business name COPPER STAR MEDICAL SUPPLY
Authorized official SHERRY MILDENBERGER - (DIRECTOR OF CLINICAL SERVICES/COMP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2022
Last updated 09/22/2022 - About 4 years ago
Identifiers n/a
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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