Provider Demographics
NPI:1215349493
Name:SUREPOINT MEDICAL, LLC
Entity type:Organization
Organization Name:SUREPOINT MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-351-2636
Mailing Address - Street 1:3235 OUSDAHL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-4366
Mailing Address - Country:US
Mailing Address - Phone:866-351-2636
Mailing Address - Fax:866-235-7541
Practice Address - Street 1:3235 OUSDAHL RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-4366
Practice Address - Country:US
Practice Address - Phone:866-351-2636
Practice Address - Fax:866-235-7541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies