MEDICARE: MEDX MEDICAL EQUIPMENT AND MOBILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1023480027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDX MEDICAL EQUIPMENT AND MOBILITY

Provider Business Mailing Address
First Line	:	1638 N CORRINGTON AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64120-1946
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 N CORRINGTON AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64120-1946
Country	:	US
Telephone Number	:	913-271-5989
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CURTIS WAYNE MOWREY
Credential	:
Telephone Number	:	573-275-4731

Provider Enumeration Date	:	10/29/2015
Last Update Date	:	10/29/2015

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