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VAN'S-DASCO HOME MEDICAL EQUIPMENT LLC NPI 1710169677


NPI Information

NPI: 1710169677
Provider Name: VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC

Doing Business As: VAN'S MEDICAL EQUIPMENT OF LAKELAND

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1088 MINERS RD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 927-8635
Get Directions

VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Saint Joseph, MI. VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC NPI is 1710169677. The provider is registered as an organization entity type.
The provider Is Doing Business As Van's Medical Equipment Of Lakeland.

The provider's business location address is:

1088 MINERS RD
SAINT JOSEPH, MI
ZIP 49085-625
Phone: (269) 927-8635
Fax: (269) 925-4167

The provider's authorized official is Rachel A Mazur .
The authorized official title is Ceo and has the following contact phone number (614) 901-2109.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 3/15/2024.


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 License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11710169677MEDICAIDMICHIGAN
254-0-A1-1200-0OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN

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: 5/5/2024

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