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MEDICAL SUPPLY DME LLC NPI 1578020004


NPI Information

NPI: 1578020004
Provider Name: MEDICAL SUPPLY DME LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2400 PROMENADE BLVD APT 2
MONTGOMERY, AL
ZIP 36106
Phone: (470) 865-2445
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MEDICAL SUPPLY DME LLC is a durable medical equipment medical supplies in Montgomery, AL. 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. MEDICAL SUPPLY DME LLC NPI is 1578020004. The provider is registered as an organization entity type.

The provider's business location address is:

2400 PROMENADE BLVD APT 2
MONTGOMERY, AL
ZIP 36106-001
Phone: (470) 865-2445

The provider's authorized official is Etta Starks .
The authorized official title is Owner and has the following contact phone number (470) 865-2445.

The enumeration date for this NPI number is 2/20/2019 and was last updated on 3/1/2019.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

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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