Provider Demographics
NPI:1154361517
Name:SPECTRUM MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:SPECTRUM MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:913-831-2979
Mailing Address - Street 1:2915 STRONG AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66106-2144
Mailing Address - Country:US
Mailing Address - Phone:913-831-2979
Mailing Address - Fax:913-831-9566
Practice Address - Street 1:2915 STRONG AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66106-2144
Practice Address - Country:US
Practice Address - Phone:913-831-2979
Practice Address - Fax:913-831-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5660120001Medicare ID - Type UnspecifiedPROVIDER NUMBER