SOURCE ONE MEDICAL INC NPI 1881703684

NPI Information

SOURCE ONE MEDICAL INC is a durable medical equipment medical supplies in Omaha, NE. 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. SOURCE ONE MEDICAL INC NPI is 1881703684. The provider is registered as an organization entity type.
The provider Is Doing Business As Source One Medical Inc.

The provider's business location address is:

2124 S 156TH CIR
OMAHA, NE
ZIP 68130-503
Phone: (888) 447-9056
Fax: (949) 387-6371

The provider's authorized official is Dennis Kline .
The authorized official title is President/ceo and has the following contact phone number (888) 447-9056.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 6/6/2011.

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:

Other Identifiers

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