Organization Name: | MADISON COUNTY MEDICAL EQUIPMENT INC |
NPI Number: | 1851583330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM CLEO BROOKHART (PRESIDENT/OWNER) |
Mailing Address: | 200 N Main St Leon |
State: | IA US |
Postal Code: | 501441954 |
Phone Number: | 6414468033 |
Fax Number: | |
NPI Enumeration Date: | 08/17/2007 |
NPI Last Update Date: | 08/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |