Med Supply INC
Durable Medical Equipment & Medical Supplies in Osage Beach, MO. Organization (NPI-2).
NPI number1750488268
StatusActive
Last updated in NPPESDec 15, 2022
Details
- NPI
- 1750488268
- Entity type
- Organization (NPI-2)
- Legal business name
- Med Supply INC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2006
- Certification date
- Dec 15, 2022
- Last updated
- Dec 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
3750 Osage Beach Pkwy Ste 100Osage Beach, MO 65065-2292
Phone 314-645-7527 · Fax 314-645-6676
Mailing address
1704 South Big Bend BlvdSt Louis, MO 63117-2402
Phone 314-645-7527 · Fax 314-645-6676
Authorized official
James C Lincoln
President
5734819625
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