PRIMETEL GLOBAL LLC NPI 1104766773

NPI Information

  • NPI: 1104766773
  • Provider Name: PRIMETEL GLOBAL LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 4379 OLD DALLAS RD
    ELM MOTT, TX
    ZIP 76640
  • Phone: (929) 410-5754

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NPI Details

PRIMETEL GLOBAL LLC is a durable medical equipment medical supplies in Elm Mott, TX. 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. PRIMETEL GLOBAL LLC NPI is 1104766773. The provider is registered as an organization entity type.

The provider's business location address is:

4379 OLD DALLAS RD
ELM MOTT, TX
ZIP 76640-452
Phone: (929) 410-5754

The provider's authorized official is David Rutkoski .
The authorized official title is Ceo and has the following contact phone number (929) 410-5754.

The enumeration date for this NPI number is 3/31/2026 and was last updated on 3/31/2026.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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