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MEDSTAR DIABETIC SUPPLY LP NPI 1164460747


NPI Information

NPI: 1164460747
Provider Name: MEDSTAR DIABETIC SUPPLY, LP

Doing Business As: CCS MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3939 W. GREEN OAKS BLVD
#205
ARLINGTON, TX
ZIP 76016
Phone: (866) 535-5556
Get Directions

MEDSTAR DIABETIC SUPPLY, LP is a durable medical equipment medical supplies in Arlington, TX. 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. MEDSTAR DIABETIC SUPPLY, LP NPI is 1164460747. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccs Medical.

The provider's business location address is:

3939 W. GREEN OAKS BLVD
#205
ARLINGTON, TX
ZIP 76016-793
Phone: (866) 535-5556
Fax: (866) 535-5456

The provider's authorized official is Thomas Hofmeister .
The authorized official title is Cfo and has the following contact phone number (972) 628-2100.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 10/8/2021.


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
1100815120AMEDICAIDOKLAHOMA
255424279MEDICAIDNEW MEXICO
3017085402MEDICAIDTEXAS
41164460747MEDICAIDNORTH CAROLINA
5009938430MEDICAIDALABAMA
6017085403MEDICAIDTEXAS
7141003716MEDICAIDARKANSAS

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: 11/14/2023

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