ACE MEDICAL SUPPLY INC NPI 1073589081

NPI Information

NPI: 1073589081
Provider Name: ACE MEDICAL SUPPLY, INC

Former Legal Business Name: ACE FORMS & SYSTEMS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6155 STONEY CREEK DR
FORT WAYNE, IN
ZIP 46825
Phone: (260) 483-3516
Get Directions

ACE MEDICAL SUPPLY, INC is a durable medical equipment medical supplies in Fort Wayne, IN. 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. ACE MEDICAL SUPPLY, INC NPI is 1073589081. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ace Forms & Systems.

The provider's business location address is:

6155 STONEY CREEK DR
FORT WAYNE, IN
ZIP 46825-409
Phone: (260) 483-3516
Fax: (260) 471-2797

The provider's authorized official is Janelle D Ford .
The authorized official title is Owner and has the following contact phone number (260) 483-3516.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 2/3/2012.

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	335E00000X	Prosthetic/Orthotic Supplier				No
2	332B00000X	Durable Medical Equipment & Medical Supplies				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	756968	MEDICAID	ARIZONA
2	026687600	MEDICAID	MINNESOTA
3	2441973000	OTHER	KENTUCKY	PASSPORT ADVANTAGE
4	3948250001	MEDICARE ID-TYPE UNSPECIFIED
5	82638200	MEDICAID	WISCONSIN
6	874370556	MEDICAID	MICHIGAN
7	=========001	MEDICAID	ILLINOIS
8	6201052000	MEDICAID	WEST VIRGINIA
9	626219000	MEDICAID	MISSOURI
10	2337813	MEDICAID	OHIO
11	000000212825	OTHER	INDIANA	BLUE CROSS BLUE SHIELD
12	90004821	MEDICAID	KENTUCKY
13	200255500A	MEDICAID	KANSAS
14	2626512	OTHER	KENTUCKY	KENTUCKY PASSPORT
15	=========050	OTHER	MICHIGAN	COMMUNITY CHOICE MICHIGAN
16	219865074A	MEDICAID	GEORGIA
17	200310680A	MEDICAID	INDIANA

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

NPI Synchronization or Removal

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