MEDICARE: WEB CAST INDUSTRIES 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)	41757300	WI

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	593198000	OTHER	MN	(MHCP) MINNESOTA HEALTH CARE PROGRAMS

General Provider Information

NPI Number	:	1639235443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEB CAST INDUSTRIES INC.

Provider Business Mailing Address
First Line	:	3008 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2618
Country	:	US
Telephone Number	:	414-447-6062
Fax Number	:	414-873-9583

Provider Business Practice Location Address
First Line	:	3008 W CAPITOL DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2618
Country	:	US
Telephone Number	:	414-447-6062
Fax Number	:	414-873-9583

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. WAYNE DALE HAMPTON
Credential	:
Telephone Number	:	414-447-6062

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	06/26/2008

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Directions to “WEB CAST INDUSTRIES INC. ” Practice Location

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