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NPI Code Detail

MEDICARE: IRB MEDICAL EQUIPMENT, LLC

MEDICARE: IRB MEDICAL EQUIPMENT, 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 Supplies
2332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1336566066
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRB MEDICAL EQUIPMENT, LLC
Provider Business Mailing Address
First Line : 1000 HEALTH PARK BLVD
Second Line : SUITE B
City : GRAND BLANC
State : MI
Zip : 48439-7324
Country : US
Telephone Number : 810-866-9441
Fax Number : 810-606-5255
Provider Business Practice Location Address
First Line : 1900 COLUMBUS AVE
Second Line : ROOM #1142
City : BAY CITY
State : MI
Zip : 48708-6831
Country : US
Telephone Number : 989-894-9579
Fax Number : 810-606-5255
Authorized Official
Title or Position : PRESIDENT
Name : MARVIN ALLEN HUNT
Credential :
Telephone Number : 810-406-4477
Provider Enumeration Date : 03/19/2014
Last Update Date : 02/08/2022

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Directions to “IRB MEDICAL EQUIPMENT, LLC ” Practice Location

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