MEDTRAC SOLUTIONS NPI 1104250919

NPI Information

NPI: 1104250919
Provider Name: MEDTRAC SOLUTIONS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 34D2177087

Address:
1801 N TRYON ST
B111
CHARLOTTE, NC
ZIP 28206
Phone: (704) 819-6212
Get Directions

MEDTRAC SOLUTIONS is a durable medical equipment medical supplies in Charlotte, NC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDTRAC SOLUTIONS NPI is 1104250919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 N TRYON ST
B111
CHARLOTTE, NC
ZIP 28206-704
Phone: (704) 819-6212
Fax: (704) 469-4714

The provider's authorized official is Gary L Smith .
The authorized official title is Chief Executive Officer and has the following contact phone number (704) 819-6212.

The CLIA number assigned to this NPI record is 34D2177087 - other - substance abuse with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2013 and was last updated on 10/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	103T00000X	Psychologist		No
5	103TB0200X	Psychologist	Cognitive & Behavioral	No
6	103TC0700X	Psychologist	Clinical	No
7	103TF0200X	Psychologist	Forensic	No
8	103TH0004X	Psychologist	Health	No
9	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	No
10	103TP2701X	Psychologist	Group Psychotherapy	No
11	1041C0700X	Social Worker	Clinical	No
12	106H00000X	Marriage & Family Therapist		No
13	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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