MEDICARE: REDI-MED HEALTH CARE, INC.

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)		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000155569	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538164710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDI-MED HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	1819 E 51ST ST
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6270
Country	:	US
Telephone Number	:	440-997-2273
Fax Number	:	440-992-3873

Provider Business Practice Location Address
First Line	:	1819 E 51ST ST
Second Line	:
City	:	ASHTABULA
State	:	OH
Zip	:	44004-6270
Country	:	US
Telephone Number	:	440-997-2273
Fax Number	:	440-992-3873

Authorized Official
Title or Position	:	C.E.O.
Name	:	MR. DAVID GEORGE LAUGEN
Credential	:
Telephone Number	:	440-997-2273

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/22/2020

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