Healthcare Provider Details

I. General information

NPI: 1568417558
Provider Name (Legal Business Name): WASHINGTON MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W CHESTNUT ST
WASHINGTON PA
15301-4631
US

IV. Provider business mailing address

1100 W CHESTNUT ST
WASHINGTON PA
15301-4631
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-2545
  • Fax: 724-222-2579
Mailing address:
  • Phone: 724-222-2545
  • Fax: 724-222-2579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number82072071
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number82072071
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number82072071
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number82072071
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number82072071
License Number StatePA

VIII. Authorized Official

Name: MR. BRANDON J RAE
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 724-222-2545