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Medsource INC.

Durable Medical Equipment & Medical Supplies in Sandy, UT. Organization (NPI-2).

NPI number1164417366
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1164417366
Entity type
Organization (NPI-2)
Legal business name
Medsource INC.
Organization subpart
No
Enumeration date
Sep 13, 2005
Last updated
Mar 17, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

10520 S 700 E Ste 210
Sandy, UT 84070-0943

Phone 801-771-3939 · Fax 888-828-8290

Mailing address

10520 S 700 E Ste 210
Sandy, UT 84070-0943

Phone 801-771-3939 · Fax 888-506-2344

Other practice locations

10520 S 700 E Ste 210
Sandy, UT 84070-0943

Phone 801-771-3939 · Fax 888-506-2344

Authorized official

David Charles
President
8017713939

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Durable Medical Equipment & Medical Supplies providers in Sandy, UT

All 24 Durable Medical Equipment & Medical Supplies providers in Sandy · All 2,176 providers in Sandy

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