MEDICARE: GLOBAL MEDICAL SUPPLY 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1194591941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	513 PAUL AVE
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5310
Country	:	US
Telephone Number	:	314-395-4349
Fax Number	:

Provider Business Practice Location Address
First Line	:	513 PAUL AVE
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5310
Country	:	US
Telephone Number	:	314-395-4349
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MICHAEL ANDERSON
Credential	:
Telephone Number	:	314-395-4349

Provider Enumeration Date	:	12/01/2023
Last Update Date	:	11/08/2024

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