MEDICARE: SCM TRUE AIR TECHNOLOGIES, 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	191111	KY

General Provider Information

NPI Number	:	1972514040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCM TRUE AIR TECHNOLOGIES, INC.

Provider Business Mailing Address
First Line	:	5700 POPLAR LEVEL RD.
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1044
Country	:	US
Telephone Number	:	502-368-0000
Fax Number	:	502-368-5334

Provider Business Practice Location Address
First Line	:	5700 POPLAR LEVEL RD
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40228-1044
Country	:	US
Telephone Number	:	502-368-0000
Fax Number	:	502-368-5334

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. DANIEL EDGESON
Credential	:
Telephone Number	:	502-368-0000

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	02/08/2017

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