Rooster Medical Equipment & Supplies
LBN: Rooster Medical Equipment & Supplies
Rooster Medical Equipment & Supplies is an health care organization with primary practice located at 3000 Sandage Ave 109, Fort Worth TX 76109-1768. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Rooster Medical Equipment & Supplies can be contacted via phone (817) 923-1900, or through Ekanem, B J via phone (817) 923-1900.
Contact Information
Primary practice address
3000 Sandage Ave 109
Fort Worth TX 76109-1768
Phone: (817) 923-1900
Fax: (817) 923-1952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0060761 | Texas |
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 0060761 | Texas |
Profile Details
| NPI number | 1255323671 |
|---|---|
| LBN Legal business name | Rooster Medical Equipment & Supplies |
| DBA Doing business as | |
| Authorized official | Ekanem, B J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 22nd, 2020 - about 5 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 | 1255323671 | NPPES |
| Texas | Other | 531195 | BLUE CROSS/BLUE SHIELD |
| Texas | MEDICAID | 1513520102 | BLUE CROSS/BLUE SHIELD |
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