MEDICARE: PROTECH MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)	0000001001	TN

General Provider Information

NPI Number	:	1013154723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROTECH MEDICAL LLC

Provider Business Mailing Address
First Line	:	1100 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3530
Country	:	US
Telephone Number	:	931-388-3766
Fax Number	:	931-540-8209

Provider Business Practice Location Address
First Line	:	1100 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3530
Country	:	US
Telephone Number	:	931-388-3766
Fax Number	:	931-540-8209

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID BAXTER
Credential	:
Telephone Number	:	931-375-1775

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	01/13/2026

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Directions to “PROTECH MEDICAL LLC ” Practice Location

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