MEDICARE: FALCON 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1659952166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCON MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	15 CONSTITUTION DR FL 1
Second Line	:
City	:	BEDFORD
State	:	NH
Zip	:	03110-6042
Country	:	US
Telephone Number	:	978-303-7430
Fax Number	:

Provider Business Practice Location Address
First Line	:	10420 MONTWOOD DR STE N-148
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79935-2701
Country	:	US
Telephone Number	:	855-386-3500
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. TIM WOODWARD
Credential	:
Telephone Number	:	978-303-7430

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	04/16/2021

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