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NPI Code Detail

MEDICARE: MEDEQUIP INC

MEDICARE: MEDEQUIP 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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2191854OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1457395741
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDEQUIP INC
Provider Business Mailing Address
First Line : 134 BLISS ST
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01089-3435
Country : US
Telephone Number : 413-737-5466
Fax Number : 413-734-5158
Provider Business Practice Location Address
First Line : 134 BLISS ST
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01089-3435
Country : US
Telephone Number : 413-737-5466
Fax Number : 413-734-5158
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM RUSSELL
Credential :
Telephone Number : 413-737-5466
Provider Enumeration Date : 06/16/2006
Last Update Date : 08/22/2020

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Directions to “MEDEQUIP INC ” Practice Location

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