Jays Wide Shoes

LBN: Barts Shoe Corp
Jays Wide Shoes is an health care organization with primary practice located at 4037 Sw 117Th Ave Suite J, Beaverton OR 97005-8900. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Barts Shoe Corp can be contacted via phone (503) 627-0113, or through Barthold, Alan via phone (503) 641-5199.

Contact Information

Primary practice address
4037 Sw 117Th Ave Suite J Beaverton OR 97005-8900
Phone: (503) 627-0113
Fax: (503) 574-2813
Website:
Map and Directions
Authorized official contact:
Name: Barthold, Alan C-PED
Phone: (503) 641-5199

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1932375672
LBN Legal business name Barts Shoe Corp
DBA Doing business as Jays Wide Shoes
Authorized official Barthold, Alan C-PED
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2008
Last updated May 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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