Organization Name: | MONONGAHELA MEDICAL SUPPLY COMPANY |
NPI Number: | 1629049598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD JOSEPH ROSENSTEEL (DME MANAGER) |
Mailing Address: | 1163 Country Club Rd Mpob Suite 104 Monongahela |
State: | PA US |
Postal Code: | 150631013 |
Phone Number: | 7242582273 |
Fax Number: | 7242586111 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 03/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 601899 |
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 |