<Unavail>
LBN: Sams East Inc
<Unavail> is an health care organization with primary practice located at 4000 Rib Mountain Dr , Wausau WI 54401-7483. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sams East Inc can be contacted via phone (715) 355-0161, or through Canonic, Kimberly via phone (480) 853-0515.
Contact Information
Primary practice address
4000 Rib Mountain Dr
Wausau WI 54401-7483
Phone: (715) 355-0161
Fax: (715) 355-0186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 8690-42 | Wisconsin |
Profile Details
| NPI number | 1518056100 |
|---|---|
| LBN Legal business name | Sams East Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Canonic, Kimberly |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jun 16th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518056100 | NPPES |
| Other | 2110951 | PK | |
| MEDICAID | 33293700 | PK |
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