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NPI Code Detail

MEDICARE: MED-A-CARE LLC

MEDICARE: MED-A-CARE 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy60005931AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12025365OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437183456
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED-A-CARE LLC
Provider Business Mailing Address
First Line : 2723 S 7TH ST
Second Line : SUITE N
City : TERRE HAUTE
State : IN
Zip : 47802-3584
Country : US
Telephone Number : 812-232-2086
Fax Number : 812-234-9103
Provider Business Practice Location Address
First Line : 2723 S 7TH ST
Second Line : SUITE N
City : TERRE HAUTE
State : IN
Zip : 47802-3584
Country : US
Telephone Number : 812-232-2086
Fax Number : 812-234-9103
Authorized Official
Title or Position : OWNER
Name : ELIAS KABOUS
Credential : RPH
Telephone Number : 812-232-2086
Provider Enumeration Date : 07/10/2006
Last Update Date : 02/15/2017

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