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MED SOURCE PLUS INC NPI 1396800629


NPI Information

NPI: 1396800629
Provider Name: MED SOURCE PLUS, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
725 HARVARD DR # A
OWENSBORO, KY
ZIP 42301
Phone: (270) 926-8999
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MED SOURCE PLUS, INC is a durable medical equipment medical supplies in Owensboro, KY. 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. MED SOURCE PLUS, INC NPI is 1396800629. The provider is registered as an organization entity type.

The provider's business location address is:

725 HARVARD DR # A
OWENSBORO, KY
ZIP 42301-185
Phone: (270) 926-8999
Fax: (270) 926-8450

The provider's authorized official is Jack Wells .
The authorized official title is Owner and has the following contact phone number (270) 926-8999.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.


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 Supplies332B00000XOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10761966MEDICAIDOHIO

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

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