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MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE INC NPI 1972561066


NPI Information

NPI: 1972561066
Provider Name: MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE, INC

Former Legal Business Name: MEDICAL MART

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
742 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801
Phone: (865) 380-0819
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MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE, INC is a durable medical equipment medical supplies in Maryville, TN. 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. MEDICAL EQUIPMENT DISTRIBUTORS OF TENNESSEE, INC NPI is 1972561066. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Medical Mart.

The provider's business location address is:

742 W LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37801-913
Phone: (865) 380-0819
Fax: (865) 380-0890

The provider's authorized official is Jason John Hames .
The authorized official title is Vice President and has the following contact phone number (865) 380-0819.

The enumeration date for this NPI number is 5/1/2006 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
1332B00000XDurable Medical Equipment & Medical Supplies0000000691TENNESSEEYes

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
13141795OTHERTENNESSEEBLUE CROSS BLUE SHIELD
21454237MEDICAIDTENNESSEE
33141795OTHERTENNESSEEBLUECARE TENNCARE

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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