Provider Demographics
NPI:1053624478
Name:SUPERIOR HEALTHCARE EQUIPMENT & SERVICES INC
Entity type:Organization
Organization Name:SUPERIOR HEALTHCARE EQUIPMENT & SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ RRT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:925-360-0777
Mailing Address - Street 1:1155 ARNOLD DR # C-265
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-6536
Mailing Address - Country:US
Mailing Address - Phone:925-360-0777
Mailing Address - Fax:925-228-6616
Practice Address - Street 1:5528-B PACHECO BLVD. SUITE 220
Practice Address - Street 2:
Practice Address - City:PACHECO
Practice Address - State:CA
Practice Address - Zip Code:94553-5156
Practice Address - Country:US
Practice Address - Phone:925-360-0777
Practice Address - Fax:925-228-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26980227332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies