Organization Name: | MED ONE MEDICAL |
NPI Number: | 1396840310 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIKE TREACY (OWNER) |
Mailing Address: | 10712 S 1300 E Sandy |
State: | UT US |
Postal Code: | 840945094 |
Phone Number: | 8015666433 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 56814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |