Skyline Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SKYLINE MEDICAL SUPPLY INC

Practice address

754 Sumner Ave
Springfield, MA 01108-2218

Phone

(413) 731-9988

NPI assigned

Oct 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George H Crum Jr.

Title

President

Phone

(413) 731-9988

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487734679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80384",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011380384",
            "telephone_number": "413-731-9988",
            "fax_number": "413-731-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082218",
            "telephone_number": "413-731-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-731-9988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537806",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "379654",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Marie Skorka
• Stacy Skowyra
• Cherylann Skrocki
• Courtney Skutnik
• Brandon Skwarto, DO
• Barbara Joy Slabaugh
• Sarah Elizabeth Slabaugh, DO
• Jacob Slack
• Emma V Slater
• Jonathan Slater, M.D.

• Durable Medical Equipment & Medical Supplies in Springfield, MA
• Providers in Springfield, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.