Healthcare Provider Details

I. General information

NPI: 1235222316
Provider Name (Legal Business Name): MEDICAL RENTALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 MT PELIA RD
MARTIN TN
38237
US

IV. Provider business mailing address

152 MT PELIA RD
MARTIN TN
38237
US

V. Phone/Fax

Practice location:
  • Phone: 731-587-5876
  • Fax: 731-587-4749
Mailing address:
  • Phone: 731-587-5876
  • Fax: 731-587-4749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0000000479
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1011
License Number StateTN

VIII. Authorized Official

Name: DAVID S PRATER
Title or Position: PRESIDENT
Credential:
Phone: 731-587-5876