Healthcare Provider Details

I. General information

NPI: 1588091425
Provider Name (Legal Business Name): MED RESOURCES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2013
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 STATE ST
ALTON IL
62002-4319
US

IV. Provider business mailing address

15464 OLIVE BLVD STE 100
CHESTERFIELD MO
63017-1719
US

V. Phone/Fax

Practice location:
  • Phone: 618-466-5632
  • Fax: 618-466-4642
Mailing address:
  • Phone: 636-733-7200
  • Fax: 636-733-7202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFF BRAUN
Title or Position: DIRECTOR
Credential:
Phone: 636-733-7205