Provider Demographics
NPI:1033390067
Name:RIZZUTO'S INC
Entity type:Organization
Organization Name:RIZZUTO'S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:RIZZUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-483-5140
Mailing Address - Street 1:4407 N DIVISION ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1402
Mailing Address - Country:US
Mailing Address - Phone:509-483-5140
Mailing Address - Fax:509-489-5102
Practice Address - Street 1:4407 N DIVISION ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1600
Practice Address - Country:US
Practice Address - Phone:509-483-5140
Practice Address - Fax:509-489-5102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9054735Medicaid
WA9054735Medicaid