MED SHOP TOTAL CARE INC NPI 1649382078

NPI Information

NPI: 1649382078
Provider Name: MED SHOP TOTAL CARE, INC

Doing Business As: MED SHOP MEDICAL DEPOT

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1071 HWY 271 NORTH
SUITE 103
GILMER, TX
ZIP 75644
Phone: (903) 843-5687
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MED SHOP TOTAL CARE, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Gilmer, TX. MED SHOP TOTAL CARE, INC NPI is 1649382078. The provider is registered as an organization entity type.
The provider Is Doing Business As Med Shop Medical Depot.

The provider's business location address is:

1071 HWY 271 NORTH
SUITE 103
GILMER, TX
ZIP 75644-560
Phone: (903) 843-5687
Fax: (903) 843-5689

The provider's authorized official is Jan Downing .
The authorized official title is Vice President and has the following contact phone number (903) 236-0090.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2022.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	0043246	TEXAS	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	515236	OTHER	TEXAS	BCBS DME PROVIDER NUMBER
2	091540701	MEDICAID	TEXAS

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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