=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013038819
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEDIC AID SUPPLIES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2007
-----------------------------------------------------
Last Update Date | 07/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 WOODSIDE AVE
-----------------------------------------------------
City | VERMILION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44089-2489
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-308-4483
-----------------------------------------------------
Fax | 440-963-4036
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 321 WOODSIDE AVE
-----------------------------------------------------
City | VERMILION
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44089-2489
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-308-4483
-----------------------------------------------------
Fax | 440-963-4036
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MISS CLAUDIA M CURRAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 440-308-4483
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 89755340
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------