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NPI Code Detail

MEDICARE: ALTIMATE CARE MEDICAL SUPPLIES,LLC

MEDICARE: ALTIMATE CARE MEDICAL SUPPLIES,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 Supplies1852372OH

General Provider Information

NPI Number : 1740583806
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALTIMATE CARE MEDICAL SUPPLIES,LLC
Provider Business Mailing Address
First Line : 5869 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2859
Country : US
Telephone Number : 614-794-9600
Fax Number : 614-794-9603
Provider Business Practice Location Address
First Line : 5869 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2859
Country : US
Telephone Number : 614-794-9600
Fax Number : 614-794-9603
Authorized Official
Title or Position : DON
Name : MRS. NINELL D DRANKWALTER
Credential : RN
Telephone Number : 614-794-9600
Provider Enumeration Date : 12/13/2010
Last Update Date : 12/13/2010

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Directions to “ALTIMATE CARE MEDICAL SUPPLIES,LLC ” Practice Location

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