Healthcare Provider Details

I. General information

NPI: 1295977502
Provider Name (Legal Business Name): MCKNIGHTS INC. SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 ALLEGHENY AVE
OAKMONT PA
15139-1901
US

IV. Provider business mailing address

11 MCKEAN AVE
CHARLEROI PA
15022-1436
US

V. Phone/Fax

Practice location:
  • Phone: 412-820-0448
  • Fax:
Mailing address:
  • Phone: 724-489-4011
  • 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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS S MCKNIGHT
Title or Position: PRESIDENT
Credential:
Phone: 724-489-4011