MEDICARE: TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY 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	332B00000X	Durable Medical Equipment & Medical Supplies	6000007115	PA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881942472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY LLC

Provider Business Mailing Address
First Line	:	20 N HARRISON ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-1224
Country	:	US
Telephone Number	:	610-630-6357
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 N HARRISON ST
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-1224
Country	:	US
Telephone Number	:	610-630-6357
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEPHEN GRIGGS
Credential	:
Telephone Number	:	407-206-0040

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	09/24/2021

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