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MEDALL INC. NPI 1649204694


NPI Information

NPI: 1649204694
Provider Name: MEDALL, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
221 W EXCHANGE AVE
SUITE 303
FORT WORTH, TX
ZIP 76164
Phone: (817) 626-9991
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MEDALL, INC. is a durable medical equipment medical supplies in Fort Worth, TX. 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. MEDALL, INC. NPI is 1649204694. The provider is registered as an organization entity type.

The provider's business location address is:

221 W EXCHANGE AVE
SUITE 303
FORT WORTH, TX
ZIP 76164-614
Phone: (817) 626-9991
Fax: (817) 626-0920

The provider's authorized official is Mike Scott Wilburn .
The authorized official title is President and has the following contact phone number (817) 626-9991.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 8/8/2008.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies5468630001TEXASNo
2332B00000XDurable Medical Equipment & Medical Supplies5468630001TEXASYes

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
1177887002MEDICAIDTEXAS
2177887001MEDICAIDTEXAS
35468630001MEDICARE NSCTEXAS

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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