Provider Demographics
NPI:1447332598
Name:ADCO SURGICAL SUPPLY
Entity type:Organization
Organization Name:ADCO SURGICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-942-5243
Mailing Address - Street 1:1292 HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-5708
Mailing Address - Country:US
Mailing Address - Phone:207-942-5273
Mailing Address - Fax:207-941-9392
Practice Address - Street 1:1292 HAMMOND ST
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-5708
Practice Address - Country:US
Practice Address - Phone:207-942-5273
Practice Address - Fax:207-941-9392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0366970001Medicare ID - Type Unspecified