MEDICARE: MOUNTAIN VIEW MEDICAL SUPPLIES 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	:	1942693593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN VIEW MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	1328 PAPERMILL POINTE WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1903
Country	:	US
Telephone Number	:	865-696-4369
Fax Number	:	865-330-6323

Provider Business Practice Location Address
First Line	:	1328 PAPERMILL POINTE WAY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37909-1903
Country	:	US
Telephone Number	:	865-696-4369
Fax Number	:	865-330-6323

Authorized Official
Title or Position	:	MEMBER
Name	:	SHAWN BROWN
Credential	:
Telephone Number	:	865-696-4369

Provider Enumeration Date	:	03/06/2015
Last Update Date	:	03/06/2015

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