PHOENIX MEDICAL SUPPLY INC. NPI 1881623627

NPI Information

NPI: 1881623627
Provider Name: PHOENIX MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
21455 MELROSE AVE STE R9
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 354-5200
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PHOENIX MEDICAL SUPPLY, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Southfield, MI. PHOENIX MEDICAL SUPPLY, INC. NPI is 1881623627. The provider is registered as an organization entity type.

The provider's business location address is:

21455 MELROSE AVE STE R9
SOUTHFIELD, MI
ZIP 48075-980
Phone: (248) 354-5200
Fax: (248) 354-9638

The provider's authorized official is Lillie M Norris .
The authorized official title is Owner and has the following contact phone number (248) 354-5200.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 4/10/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	06819C	MICHIGAN	Yes

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
1	4315376	MEDICAID	MICHIGAN
2	540F301900	OTHER	MICHIGAN	BLUE CROSS AND BLUE SHIEL

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

NPI Synchronization or Removal

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