MEDICARE: ACADIAN MEDICAL SUPPLY, LLC

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194817205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADIAN MEDICAL SUPPLY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 700
Second Line	:
City	:	BUNKIE
State	:	LA
Zip	:	71322-0700
Country	:	US
Telephone Number	:	318-346-1560
Fax Number	:	318-346-1562

Provider Business Practice Location Address
First Line	:	109 CHEVY LN
Second Line	:	SUITE C
City	:	BUNKIE
State	:	LA
Zip	:	71322-1561
Country	:	US
Telephone Number	:	318-346-1560
Fax Number	:	318-346-1562

Authorized Official
Title or Position	:	OWNER
Name	:	AMY LEMOINE MAYEUX
Credential	:
Telephone Number	:	318-346-1560

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/24/2011

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Directions to “ACADIAN MEDICAL SUPPLY, LLC ” Practice Location

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