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NPI Code Detail

MEDICARE: EMERALD MEDICAL SERVICES LLC

MEDICARE: EMERALD MEDICAL SERVICES 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

Other Identifiers

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

General Provider Information

NPI Number : 1578584306
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMERALD MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 4211 9TH ST NW
Second Line : SUITE 1
City : WASHINGTON
State : DC
Zip : 20011-7200
Country : US
Telephone Number : 202-722-8877
Fax Number : 202-722-8819
Provider Business Practice Location Address
First Line : 4211 9TH ST NW
Second Line : SUITE 1
City : WASHINGTON
State : DC
Zip : 20011-7200
Country : US
Telephone Number : 202-722-8877
Fax Number : 202-722-8819
Authorized Official
Title or Position : CEO
Name : MR. UCHE BEN ODUNZEH
Credential :
Telephone Number : 202-722-8877
Provider Enumeration Date : 07/21/2006
Last Update Date : 03/10/2008

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Directions to “EMERALD MEDICAL SERVICES LLC ” Practice Location

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