Functional Dme

LBN: Functional Dme
Functional Dme is an health care organization with primary practice located at 930B Prayer House Rd , Washington LA 70589-9113. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Functional Dme can be contacted via phone (225) 412-9955, or through Ryan, Colleen via phone (225) 412-9955.

Contact Information

Primary practice address
930B Prayer House Rd Washington LA 70589-9113
Phone: (225) 412-9955
Fax: (225) 412-9957
Website:
Map and Directions
Authorized official contact:
Name: Ryan, Colleen
Phone: (225) 412-9955

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1407347586
LBN Legal business name Functional Dme
DBA Doing business as
Authorized official Ryan, Colleen
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2018
Last updated Feb 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407347586 NPPES
Louisiana MEDICAID 2494589

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