MEDICARE: NORTHWEST OHIO MEDICAL EQUIPMENT 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)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies	72022896	OH

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	:	1467410456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST OHIO MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	1749 TIFFIN AVE
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-6833
Country	:	US
Telephone Number	:	419-423-9712
Fax Number	:	419-420-8105

Provider Business Practice Location Address
First Line	:	1211 OAK HARBOR RD
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-1020
Country	:	US
Telephone Number	:	419-332-4938
Fax Number	:	419-332-3384

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT WESTPHAL
Credential	:
Telephone Number	:	419-423-9712

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	09/19/2016

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