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NPI Code Detail

MEDICARE: MED-EQUIP, LLC

MEDICARE: MED-EQUIP, 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
1332B00000XDurable Medical Equipment & Medical Supplies0114552967IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000247653OTHERINANTHEM BLUE CROSS/ BLUE S
2015966POTHERINSIHO
3V17061OTHERINHOMELINK
47081415OTHERINAETNA

General Provider Information

NPI Number : 1275536096
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED-EQUIP, LLC
Provider Business Mailing Address
First Line : 238 S MERIDIAN ST
Second Line : STE 205
City : INDIANAPOLIS
State : IN
Zip : 46225-1024
Country : US
Telephone Number : 317-637-2310
Fax Number : 317-637-2328
Provider Business Practice Location Address
First Line : 238 S MERIDIAN ST
Second Line : STE 205
City : INDIANAPOLIS
State : IN
Zip : 46225-1024
Country : US
Telephone Number : 317-637-2310
Fax Number : 317-637-2328
Authorized Official
Title or Position : PRESIDENT
Name : MR. DOUGLAS EDWARD RIPPERGER
Credential :
Telephone Number : 317-637-2310
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/20/2008

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Directions to “MED-EQUIP, LLC ” Practice Location

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