Provider Demographics
NPI:1982798765
Name:SHV, INC
Entity type:Organization
Organization Name:SHV, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BODELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-222-9146
Mailing Address - Street 1:127 PEARL ST
Mailing Address - Street 2:PO BOX 598
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3121
Mailing Address - Country:US
Mailing Address - Phone:508-222-9146
Mailing Address - Fax:508-226-3206
Practice Address - Street 1:127 PEARL ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-3121
Practice Address - Country:US
Practice Address - Phone:508-222-9146
Practice Address - Fax:508-226-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1527738Medicaid
MA207954OtherBLUE CROSS PROVIDER NUMBE
MA1527738Medicaid