BOARDMAN MEDICAL SUPPLY CO NPI 1073673653

NPI Information

  • NPI: 1073673653
  • Provider Name: BOARDMAN MEDICAL SUPPLY CO
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1309 E MARKET ST
    WARREN, OH
    ZIP 44483
  • Phone: (330) 395-7252

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NPI Details

BOARDMAN MEDICAL SUPPLY CO is a durable medical equipment medical supplies in Warren, OH. 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. BOARDMAN MEDICAL SUPPLY CO NPI is 1073673653. The provider is registered as an organization entity type.

The provider's business location address is:

1309 E MARKET ST
WARREN, OH
ZIP 44483-607
Phone: (330) 395-7252
Fax: (330) 373-1190

The provider's authorized official is Robin S. Ivany .
The authorized official title is Vice President and has the following contact phone number (330) 545-6700.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareNo
2332B00000XDurable Medical Equipment & Medical SuppliesOHIOYes

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
12627714MEDICAIDOHIO

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: 3/30/2025

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