MEDICARE: RISING MEDICAL 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	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

General Provider Information

NPI Number	:	1255471553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING MEDICAL LLC

Provider Business Mailing Address
First Line	:	5743 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5023
Country	:	US
Telephone Number	:	520-886-7700
Fax Number	:	520-886-7710

Provider Business Practice Location Address
First Line	:	5743 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-5023
Country	:	US
Telephone Number	:	520-886-7700
Fax Number	:	520-886-7710

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TIMOTHY C REGAN
Credential	:
Telephone Number	:	520-886-7700

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	06/26/2009

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Directions to “RISING MEDICAL LLC ” Practice Location

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