QUAD STATES MEDICAL REHAB AND SUPPLY LLC NPI 1407937121

NPI Information

NPI: 1407937121
Provider Name: QUAD STATES MEDICAL REHAB AND SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
107 WESMOR ST
CLINTON, MO
ZIP 64735
Phone: (417) 646-2886
Get Directions

QUAD STATES MEDICAL REHAB AND SUPPLY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Clinton, MO. QUAD STATES MEDICAL REHAB AND SUPPLY LLC NPI is 1407937121. The provider is registered as an organization entity type.

The provider's business location address is:

107 WESMOR ST
CLINTON, MO
ZIP 64735-786
Phone: (417) 646-2886
Fax: (660) 885-2640

The provider's authorized official is Ross D Lockhart .
The authorized official title is 50 SHAREHOLDERShareholder and has the following contact phone number (417) 646-2886.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 3/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	19368569	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5623120001	MEDICARE NSC	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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