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MEDIDEX LLC NPI 1871591974


NPI Information

NPI: 1871591974
Provider Name: MEDIDEX LLC

Doing Business As: BACH MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1711 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 883-1400
Get Directions

MEDIDEX LLC is a durable medical equipment medical supplies in Springfield, MO. 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. MEDIDEX LLC NPI is 1871591974. The provider is registered as an organization entity type.
The provider Is Doing Business As Bach Medical Supply.

The provider's business location address is:

1711 E SUNSHINE ST
SPRINGFIELD, MO
ZIP 65804-322
Phone: (417) 883-1400
Fax: (417) 883-2663

The provider's authorized official is Luke Mcgee .
The authorized official title is Ceo and has the following contact phone number (646) 880-0473.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 7/27/2022.


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
1335E00000XProsthetic/Orthotic SupplierNo
2332B00000XDurable Medical Equipment & Medical Supplies11714034MISSOURIYes

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
1621674308MEDICAIDMISSOURI

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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