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:
Map and Directions
Authorized official contact:
Name: Downing, Jan Registered Nurse (RN)
Phone: (903) 236-0090

Health care specialties

SpecialtyCodeLicense #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 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033221494 NPPES
Texas Other 519549 BCBS DME NUMBER
Texas MEDICAID 014262201 BCBS DME NUMBER
Texas MEDICAID 091540702 BCBS DME NUMBER

Popular Providers