CLUB MED LLC


Address: 7259 Mansfield Ave, Philadelphia, PA 19138-1620
Phone: 8885548850

CLUB MED LLC (NPI# 1396042552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396042552
Entity Type Organization
Organization Name CLUB MED LLC
Practice Address 7259 Mansfield Ave
Philadelphia
PA 19138-1620
Practice Telephone 8885548850
Practice Fax Number 8778296012
Mailing Telephone 8885548850
Mailing Fax Number 8778296012
Enumeration Date 2011-02-23
Last Update Date 2011-02-23
Authorized Official Name MS. PATRICE L FATE (DME SUPPLYER)
Authorized Official Telephone 8885548850
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
Suppliers
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Office Location

Street Address 7259 MANSFIELD AVE
City PHILADELPHIA
State PA
Zip Code 19138-1620

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

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’s use in the home and that are usable for an extended period of time.

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1508410531 Walgreen Co Durable Medical Equipment & Medical Supplies 3550 Market St Ste 103, Philadelphia, PA 19104-3329 2019-07-29
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Competitor

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City PHILADELPHIA
Zip Code 19138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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