MEDICARE: NATIONWIDE 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	0000000867	TN

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912912627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONWIDE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1510 STUART RD NE
Second Line	:	SUITE 109
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5858
Country	:	US
Telephone Number	:	423-478-7433
Fax Number	:	423-478-7441

Provider Business Practice Location Address
First Line	:	1510 STUART RD NE
Second Line	:	SUITE 109
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5858
Country	:	US
Telephone Number	:	423-478-7433
Fax Number	:	423-478-7441

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHRIS SEAN GUY
Credential	:
Telephone Number	:	423-478-7433

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	08/22/2020

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