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NPI Code Detail

MEDICARE: VANTAGE DME PARTNERSHIP

MEDICARE: VANTAGE DME PARTNERSHIP
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
1332BX2000XOxygen Equipment & Supplies (DME)PA

General Provider Information

NPI Number : 1184626442
Entity Type Code : Organization
Provider Name (Legal Business Name) : VANTAGE DME PARTNERSHIP
Provider Business Mailing Address
First Line : PO BOX 1449
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-0949
Country : US
Telephone Number : 814-337-0000
Fax Number :
Provider Business Practice Location Address
First Line : 110 E SAINT CLAIR ST
Second Line :
City : WARREN
State : PA
Zip : 16365-2134
Country : US
Telephone Number : 814-723-4917
Fax Number : 814-723-4919
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. MICHAEL D MOSBACHER
Credential :
Telephone Number : 814-337-0000
Provider Enumeration Date : 06/01/2005
Last Update Date : 09/02/2010

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Directions to “VANTAGE DME PARTNERSHIP ” Practice Location

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