Organization Name: | CONCORDIA MEDICAL EQUIPMENT |
NPI Number: | 1871683243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRAD L MILLIRON (CEO) |
Mailing Address: | 615 N Pike Rd Cabot |
State: | PA US |
Postal Code: | 160232215 |
Phone Number: | 7243521100 |
Fax Number: | 7243526030 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 11/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 3000008051 |
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 |