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NPI Code Detail

MEDICARE: NATIONWIDE MEDICAL SUPPLIES

MEDICARE: NATIONWIDE MEDICAL SUPPLIES
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
1332B00000XDurable Medical Equipment & Medical SuppliesHMEL11189OH

General Provider Information

NPI Number : 1104937275
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONWIDE MEDICAL SUPPLIES
Provider Business Mailing Address
First Line : 3657 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5108
Country : US
Telephone Number : 216-752-9331
Fax Number : 216-752-9653
Provider Business Practice Location Address
First Line : 3657 LEE RD
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44120-5108
Country : US
Telephone Number : 216-752-9331
Fax Number : 216-752-9653
Authorized Official
Title or Position : OWNER/ MANAGER
Name : MR. HENRY OMODIAOGBE
Credential :
Telephone Number : 216-752-9331
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/22/2020

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Directions to “NATIONWIDE MEDICAL SUPPLIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.