| NPI | 1215930300 |
|---|---|
| Doing Business As | KIRK'S CHS MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARVIN JAMES WALETICH CEO 360-694-7377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-08-19 |