MEDICARE: OHIO MEDICAL EQUIPMENT SERVICES, 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

General Provider Information

NPI Number	:	1962713479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO MEDICAL EQUIPMENT SERVICES, INC

Provider Business Mailing Address
First Line	:	5825 EMPORIUM SQ
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2803
Country	:	US
Telephone Number	:	614-504-4110
Fax Number	:	614-448-0156

Provider Business Practice Location Address
First Line	:	5825 EMPORIUM SQ
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2803
Country	:	US
Telephone Number	:	614-504-4110
Fax Number	:	614-437-9011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	OSMAN M. ABDIRAHMAN
Credential	:	MR.
Telephone Number	:	614-504-4110

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	09/24/2010

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