| Organization Name: | MEDLINE INDUSTRIES, INC |
| NPI Number: | 1174997837 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL G LEE (SENIOR VICE PRESIDENT SALES) |
| Mailing Address: | 27255 Sw 95th Ave Wilsonville |
| State: | OR US |
| Postal Code: | 970709290 |
| Phone Number: | 8476433864 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2015 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | NPC-0004026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| 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 |