MEDICARE: DEPENDABLE MEDICAL EQUIPMENT, 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	332B00000X	Durable Medical Equipment & Medical Supplies	10198920	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AX4351	OTHER		HEALTH NET OF AZ
2	AZ0278520	OTHER		BLUE CROSS/BLUE SHIELD AZ

General Provider Information

NPI Number	:	1699770008
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDABLE MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	3570 S DODGE BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-5419
Country	:	US
Telephone Number	:	520-751-1929
Fax Number	:	520-207-2865

Provider Business Practice Location Address
First Line	:	557 N GRAND AVE
Second Line	:
City	:	NOGALES
State	:	AZ
Zip	:	85621-2973
Country	:	US
Telephone Number	:	520-751-1929
Fax Number	:	520-207-2865

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM BAKER
Credential	:	RT
Telephone Number	:	520-751-1929

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	03/21/2018

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