Provider Demographics
NPI:1588926174
Name:GOODHEALTH MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:GOODHEALTH MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-841-1700
Mailing Address - Street 1:14820 DREXEL AVE
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-2222
Mailing Address - Country:US
Mailing Address - Phone:708-841-1700
Mailing Address - Fax:708-841-1701
Practice Address - Street 1:14820 DREXEL AVE
Practice Address - Street 2:
Practice Address - City:DOLTON
Practice Address - State:IL
Practice Address - Zip Code:60419-2222
Practice Address - Country:US
Practice Address - Phone:708-841-1700
Practice Address - Fax:708-841-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies