Edge Medical Supply, Llc in Jacksonville - Oxygen Equipment & Supplies
Edge Medical Supply, Llc - NPI 1073613147
Edge Medical Supply, Llc is a Oxygen Equipment & Supplies in Jacksonville, Texas. Edge Medical Supply, Llc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Edge Medical Supply, Llc is 1073613147. The last update date is 2018-07-25.
Edge Medical Supply, Llc's current location address is 411 E Rusk St, Jacksonville, Texas. You can contact this provider via phone number 9035410220 and fax number 9035410440. The mailing address for Edge Medical Supply, Llc is 411 E Rusk St, Jacksonville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edge Medical Supply, Llc |
|---|---|
| Address | 411 E Rusk St, Jacksonville, Texas |
| Phone Number | 9035410220 |
| Fax Number | 9035410440 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Griggs P. Stephen |
| Telephone Number | 4072060040 |
NPI Number Detail
| NPI Number | 1073613147 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2018-07-25 |
Provider Mailing Address Detail
| Address | 411 E Rusk St |
|---|---|
| City | Jacksonville |
| State | Texas (TX) |
| Post Code | 75766 |
| Phone Number | 9035410220 |
| Fax Number | 9035410440 |
Provider's Primary Taxonomy Detail
| Speciality | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158217413 | TX | -- | |
| 158127403 | TX | -- |
Post Comment/ Review Below
What is the Edge Medical Supply, Llc's 1073613147?
The Edge Medical Supply, Llc's NPI (National Provider Identifier) Number is 1073613147. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Edge Medical Supply, Llc?
The Edge Medical Supply, Llc is physically situated at 411 E Rusk St, in the city of Jacksonville, state of TX, with the postal code 75766.
What is Edge Medical Supply, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edge Medical Supply, Llc is Oxygen Equipment & Supplies, and the taxonomy code that classifies this field of practice is 332Bx2000X.
On what date did the Edge Medical Supply, Llc receive its 1073613147 assignment from the Centers for Medicare & Medicaid Services?
The Edge Medical Supply, Llc was assigned its 1073613147 by the Centers for Medicare & Medicaid Services on 2006-09-25.
When was the information regarding Edge Medical Supply, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edge Medical Supply, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-25.
NPI Number: 1336142389
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