Healthcare Provider Details

I. General information

NPI: 1164923967
Provider Name (Legal Business Name): PURE MEDICAL EQUIPMENT & SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 S MAIN ST STE 040
FALL RIVER MA
02721-5349
US

IV. Provider business mailing address

99 S MAIN ST STE 040
FALL RIVER MA
02721-5349
US

V. Phone/Fax

Practice location:
  • Phone: 508-567-4167
  • Fax: 401-729-5940
Mailing address:
  • Phone: 508-567-4167
  • Fax: 401-729-5940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PATRICK DUGGAN
Title or Position: OWNER
Credential:
Phone: 508-567-4167