TRI STATE MEDICAL SUPPLY NPI 1679570105

NPI Information

NPI: 1679570105
Provider Name: TRI STATE MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
732 S SHOOP AVE
WAUSEON, OH
ZIP 43567
Phone: (419) 337-2399
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TRI STATE MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Wauseon, OH. TRI STATE MEDICAL SUPPLY NPI is 1679570105. The provider is registered as an organization entity type.

The provider's business location address is:

732 S SHOOP AVE
WAUSEON, OH
ZIP 43567-707
Phone: (419) 337-2399
Fax: (419) 337-5392

The provider's authorized official is Leigh Ann Yungmann .
The authorized official title is General Manager and has the following contact phone number (419) 337-2399.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 8/11/2016.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	02-0873800	OHIO	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	0232290001	MEDICARE NSC	OHIO
2	0469818	MEDICAID	OHIO

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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