MEDICARE: MAYFIELD 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	332B00000X	Durable Medical Equipment & Medical Supplies

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

General Provider Information

NPI Number	:	1245317593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYFIELD INC.

Provider Business Mailing Address
First Line	:	112 SUMMER LN
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-3500
Country	:	US
Telephone Number	:	318-396-3366
Fax Number	:	318-397-2132

Provider Business Practice Location Address
First Line	:	112 SUMMER LN
Second Line	:
City	:	WEST MONROE
State	:	LA
Zip	:	71291-3500
Country	:	US
Telephone Number	:	318-396-3366
Fax Number	:	318-397-2132

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	CHRISTINE MAYFIELD
Credential	:
Telephone Number	:	318-396-3366

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	08/22/2020

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Directions to “MAYFIELD INC. ” Practice Location

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