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CRESTVIEW MEDICAL EQUIPMENT SUPPLY LLC NPI 1366694622


NPI Information

NPI: 1366694622
Provider Name: CRESTVIEW MEDICAL EQUIPMENT SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2100 S GREAT SOUTHWEST PKWY
STE 103
GRAND PRAIRIE, TX
ZIP 75051
Phone: (972) 853-7422
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CRESTVIEW MEDICAL EQUIPMENT SUPPLY LLC is a durable medical equipment medical supplies in Grand Prairie, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CRESTVIEW MEDICAL EQUIPMENT SUPPLY LLC NPI is 1366694622. The provider is registered as an organization entity type.

The provider's business location address is:

2100 S GREAT SOUTHWEST PKWY
STE 103
GRAND PRAIRIE, TX
ZIP 75051-543
Phone: (972) 853-7422

The provider's authorized official is Olumuyiwa Akinyode .
The authorized official title is President/ceo and has the following contact phone number (972) 853-7422.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 7/26/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
16350820001MEDICARE NSCTEXAS
2211490202MEDICAIDTEXAS
3211490201MEDICAIDTEXAS

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

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