Healthcare Provider Details
I. General information
NPI: 1942298252
Provider Name (Legal Business Name): KCI USA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/11/2005
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14 COMMERCE RD
SHREWSBURY MA
01545
US
IV. Provider business mailing address
6103 FARINON DR ATTN HCC
SAN ANTONIO TX
78249-3442
US
V. Phone/Fax
- Phone: 508-845-6807
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROSA
GOMEZ
Title or Position: VP, MEDICARE ENROLLMENT
Credential:
Phone: 830-292-1612