LOGOS MEDICAL SUPPLY INC. NPI 1235254947

NPI Information

NPI: 1235254947
Provider Name: LOGOS MEDICAL SUPPLY INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
5070 PARKSIDE AVE
SUITE 5100W
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 452-5701
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LOGOS MEDICAL SUPPLY INC. is a customized equipment durable medical equipment medical supplies in Philadelphia, PA. LOGOS MEDICAL SUPPLY INC. NPI is 1235254947. The provider is registered as an organization entity type.

The provider's business location address is:

5070 PARKSIDE AVE
SUITE 5100W
PHILADELPHIA, PA
ZIP 19131-747
Phone: (215) 452-5701
Fax: (215) 452-0443

The provider's authorized official is John Wilcher .
The authorized official title is President and has the following contact phone number (215) 452-5701.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 2/17/2016.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	156245	PENNSYLVANIA	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	1020765750001	MEDICAID	PENNSYLVANIA
2	4985690001	MEDICARE NSC	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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