Organization Name: | TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC |
NPI Number: | 1083982722 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN GVODAS (PRESIDENT) |
Mailing Address: | 1295 Penn Ave Wyomissing |
State: | PA US |
Postal Code: | 196102129 |
Phone Number: | 6108984533 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 3000007437 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |