Healthcare Provider Details

I. General information

NPI: 1689425126
Provider Name (Legal Business Name): MEDICAL SERVICE COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 BELMONT AVE STE E
YOUNGSTOWN OH
44505-1836
US

IV. Provider business mailing address

24000 BROADWAY AVE
CLEVELAND OH
44146-6329
US

V. Phone/Fax

Practice location:
  • Phone: 440-232-3000
  • Fax:
Mailing address:
  • Phone: 440-323-3000
  • Fax:

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: MICHELE SMITH
Title or Position: COMPLIANCE OPERATIONS SUPERVISOR
Credential:
Phone: 440-735-3096