DIABETIC AND MEDICAL RESOURCES CORP NPI 1760491898

NPI Information

  • NPI: 1760491898
  • Provider Name: DIABETIC AND MEDICAL RESOURCES CORP
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 3999 DUTCHMANS LN
    SUITE 3 F
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (502) 376-3979

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NPI Details

DIABETIC AND MEDICAL RESOURCES CORP is a durable medical equipment medical supplies in Louisville, 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. DIABETIC AND MEDICAL RESOURCES CORP NPI is 1760491898. The provider is registered as an organization entity type.

The provider's business location address is:

3999 DUTCHMANS LN
SUITE 3 F
LOUISVILLE, KY
ZIP 40207-714
Phone: (502) 376-3979
Fax: (502) 899-5209

The provider's authorized official is Yelena Vilder .
The authorized official title is President and has the following contact phone number (502) 376-3979.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 8/2/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies051629KENTUCKYYes

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
1200511350AMEDICAIDINDIANA
25230280001MEDICARE NSCKENTUCKY
32638618000OTHERKENTUCKYDME/PASSPORT ADVANTAGE
450008839MEDICAIDKENTUCKY
5000000384504OTHERKENTUCKYDME/BCBS
690011305MEDICAIDKENTUCKY

What is NPI?

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This page was last updated on: 3/30/2025

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