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1689645558

NPI Code Detail

MEDICARE: DASCO HME, LLC

MEDICARE: DASCO HME, 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	22187	OH
2	332BX2000X	Oxygen Equipment & Supplies (DME)	02-1063550	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000018640	OTHER		ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	381880001	OTHER		CARESOURCE
4	57223	OTHER		NORTHWOODS
5	0172487	OTHER	OH	BCMH
6	479343	OTHER		BLACK LUNG
7	1057542	OTHER	WV	WORKERS COMP
8	1361859	OTHER		UMWA

General Provider Information

NPI Number	:	1689645558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DASCO HME, LLC

Provider Business Mailing Address
First Line	:	375 N WEST ST
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-1400
Country	:	US
Telephone Number	:	614-901-2226
Fax Number	:	614-901-2228

Provider Business Practice Location Address
First Line	:	1656 EAGLE WAY
Second Line	:
City	:	ASHLAND
State	:	OH
Zip	:	44805-8924
Country	:	US
Telephone Number	:	419-289-6489
Fax Number	:	419-289-6506

Authorized Official
Title or Position	:	CEO
Name	:	MRS. RACHEL MAZUR
Credential	:
Telephone Number	:	614-901-2226

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	03/16/2020

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Directions to “DASCO HME, LLC ” Practice Location

Language	Start Address	Practice Location

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