CLUB MED LLC NPI 1396042552

NPI Information

CLUB MED LLC is a durable medical equipment medical supplies in Philadelphia, PA. 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. CLUB MED LLC NPI is 1396042552. The provider is registered as an organization entity type.

The provider's business location address is:

7259 MANSFIELD AVE
PHILADELPHIA, PA
ZIP 19138-620
Phone: (888) 554-8850
Fax: (877) 829-6012

The provider's authorized official is Patrice L Fate .
The authorized official title is Dme Supplyer and has the following contact phone number (888) 554-8850.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 2/23/2011.

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:

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