Healthcare Provider Details

I. General information

NPI: 1114069861
Provider Name (Legal Business Name): REGION MEDICAL EQUIPMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 NORTH MAIN
PARIS MO
65275
US

IV. Provider business mailing address

225 NORTH MAIN
PARIS MO
65275
US

V. Phone/Fax

Practice location:
  • Phone: 660-327-1377
  • Fax: 660-327-1378
Mailing address:
  • Phone: 660-327-1377
  • Fax: 660-327-1378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHARLES EDWARD MITCHELL
Title or Position: OWNER
Credential:
Phone: 660-327-1377