MEDICARE: TOTAL CONTACT, INC.

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023054517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL CONTACT, INC.

Provider Business Mailing Address
First Line	:	41 N MAIN ST
Second Line	:
City	:	GERMANTOWN
State	:	OH
Zip	:	45327-1349
Country	:	US
Telephone Number	:	937-855-6107
Fax Number	:	937-855-6903

Provider Business Practice Location Address
First Line	:	41 N MAIN ST
Second Line	:
City	:	GERMANTOWN
State	:	OH
Zip	:	45327-1349
Country	:	US
Telephone Number	:	937-855-6107
Fax Number	:	937-855-6903

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JENNIFER JEANNE WHITESTONE
Credential	:
Telephone Number	:	937-855-6107

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	01/08/2008

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