Med Shop Medical Depot
LBN: Med Shop Total Care, Inc
Med Shop Medical Depot is an health care organization with primary practice located at 472 E Loop 281 , Longview TX 75605-7939. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Med Shop Total Care, Inc can be contacted via phone (903) 236-0090, or through Downing, Jan via phone (903) 236-0090.
Contact Information
Primary practice address
472 E Loop 281
Longview TX 75605-7939
Phone: (903) 236-0090
Fax: (903) 236-0095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 0043245 | Texas |
Profile Details
| NPI number | 1033221494 |
|---|---|
| LBN Legal business name | Med Shop Total Care, Inc |
| DBA Doing business as | Med Shop Medical Depot |
| Authorized official | Downing, Jan Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 22nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033221494 | NPPES |
| Texas | Other | 519549 | BCBS DME NUMBER |
| Texas | MEDICAID | 014262201 | BCBS DME NUMBER |
| Texas | MEDICAID | 091540702 | BCBS DME NUMBER |
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