Healthcare Provider Details

I. General information

NPI: 1174135685
Provider Name (Legal Business Name): MEDICAL SERVICE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 09/07/2025
Certification Date: 09/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9921 DUPONT CIRCLE DR W STE 145
FORT WAYNE IN
46825-1614
US

IV. Provider business mailing address

24000 BROADWAY AVE
OAKWOOD VILLAGE OH
44146-6329
US

V. Phone/Fax

Practice location:
  • Phone: 866-907-5337
  • Fax: 440-232-3411
Mailing address:
  • Phone: 440-232-3000
  • Fax: 440-232-3411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOSH MARX
Title or Position: CHIEF EXECUTIVE OFFICE
Credential:
Phone: 440-232-3000