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MODERN MEDICAL INC. NPI 1174524797


NPI Information

NPI: 1174524797
Provider Name: MODERN MEDICAL, INC.

Doing Business As: OPTUM WORKERS COMPENSATION MEDICAL SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
250 PROGRESSIVE WAY
SUITE 100
WESTERVILLE, OH
ZIP 43082
Phone: (800) 547-3330
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MODERN MEDICAL, INC. is a durable medical equipment medical supplies in Westerville, 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. MODERN MEDICAL, INC. NPI is 1174524797. The provider is registered as an organization entity type.
The provider Is Doing Business As Optum Workers Compensation Medical Services.

The provider's business location address is:

250 PROGRESSIVE WAY
SUITE 100
WESTERVILLE, OH
ZIP 43082-615
Phone: (800) 547-3330
Fax: (614) 212-8008

The provider's authorized official is John William Bencivenga .
The authorized official title is General Counsel and has the following contact phone number (813) 318-6831.

The enumeration date for this NPI number is 8/4/2005 and was last updated on 3/13/2017.


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 SuppliesNo
2332S00000XHearing Aid EquipmentNo
3347E00000XTransportation BrokerNo
4335E00000XProsthetic/Orthotic SupplierNo
5251E00000XHome HealthNo
6333600000XPharmacyNo
7332B00000XDurable Medical Equipment & Medical SuppliesHMER 23503OHIOYes

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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