MEDICARE: GREAT VALUE HOME MEDICAL EQUIPMENT, 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

General Provider Information

NPI Number	:	1487878153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT VALUE HOME MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	3220 RIVERSIDE DR
Second Line	:	SUITE C1
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-1736
Country	:	US
Telephone Number	:	614-273-0000
Fax Number	:	614-231-2612

Provider Business Practice Location Address
First Line	:	4275 E MAIN ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-3032
Country	:	US
Telephone Number	:	614-231-0000
Fax Number	:	614-231-2612

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEVEN F CROSS
Credential	:
Telephone Number	:	614-273-0000

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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