MEDICARE: WASHINGTON 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	332BX2000X	Oxygen Equipment & Supplies (DME)	82072071	PA
2	332BN1400X	Nursing Facility Supplies (DME)	82072071	PA
3	332BC3200X	Customized Equipment (DME)	82072071	PA
4	335E00000X	Prosthetic/Orthotic Supplier	82072071	PA
5	332B00000X	Durable Medical Equipment & Medical Supplies	82072071	PA

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
2	246892	OTHER	PA	BLUE SHIELD NUMBER

General Provider Information

NPI Number	:	1568417558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	1100 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-222-2545
Fax Number	:	724-222-2579

Provider Business Practice Location Address
First Line	:	1100 W CHESTNUT ST
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-4631
Country	:	US
Telephone Number	:	724-222-2545
Fax Number	:	724-222-2579

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. BRANDON J RAE
Credential	:
Telephone Number	:	724-222-2545

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	10/31/2007

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