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MOBILE MED INC NPI 1710904313


NPI Information

NPI: 1710904313
Provider Name: MOBILE MED INC

Doing Business As: BREATHE MEDICAL

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

Specialization: Oxygen Equipment & Supplies

Address:
114 S CLIFTON AVE
LOUISVILLE, KY
ZIP 40206
Phone: (502) 896-8335
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MOBILE MED INC is an oxygen equipment and supplies durable medical equipment medical supplies in Louisville, KY. MOBILE MED INC NPI is 1710904313. The provider is registered as an organization entity type.
The provider Is Doing Business As Breathe Medical.

The provider's business location address is:

114 S CLIFTON AVE
LOUISVILLE, KY
ZIP 40206-406
Phone: (502) 896-8335

The provider's authorized official is Gary N Beson .
The authorized official title is President and has the following contact phone number (843) 285-7903.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


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
1332BX2000XDurable 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
150009464MEDICAIDKENTUCKY
2370765OTHERKENTUCKYBCBS
390011461MEDICAIDKENTUCKY

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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