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EXPRESS MEDICAL SUPPLY NPI 1114123890


NPI Information

NPI: 1114123890
Provider Name: EXPRESS MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6521 ARLINGTON BLVD
SUITE#205
FALLS CHURCH, VA
ZIP 22042
Phone: (703) 533-7585
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EXPRESS MEDICAL SUPPLY is a durable medical equipment medical supplies in Falls Church, VA. 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. EXPRESS MEDICAL SUPPLY NPI is 1114123890. The provider is registered as an organization entity type.

The provider's business location address is:

6521 ARLINGTON BLVD
SUITE#205
FALLS CHURCH, VA
ZIP 22042-009
Phone: (703) 533-7585
Fax: (866) 866-3534

The provider's authorized official is Jebessa Alemayehu Daba .
The authorized official title is Ceo/owner and has the following contact phone number (703) 346-8796.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 5/20/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114123890MEDICAIDVIRGINIA
2018559100MEDICAIDMARYLAND
30392253 00MEDICAIDDISTRICT OF COLUMBIA
45965970001MEDICARE NSCDISTRICT OF COLUMBIA
55965970001MEDICARE NSCVIRGINIA

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

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