MEDICARE: MEDACHECK

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)

General Provider Information

NPI Number	:	1215384714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDACHECK

Provider Business Mailing Address
First Line	:	602 MAIN ST
Second Line	:	SUITE 401
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2545
Country	:	US
Telephone Number	:	513-488-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 MAIN ST
Second Line	:	SUITE 401
City	:	CINCINNATI
State	:	OH
Zip	:	45202-2545
Country	:	US
Telephone Number	:	513-488-1111
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JEFFREY SHEPARD
Credential	:
Telephone Number	:	513-488-1111

Provider Enumeration Date	:	05/16/2016
Last Update Date	:	05/16/2016

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