Queen City Med Mart Llc

LBN: Queen City Med Mart Llc
Queen City Med Mart Llc is an health care organization with primary practice located at 2237 S Smithville Rd , Kettering OH 45420-1461. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Queen City Med Mart Llc can be contacted via phone (937) 256-0000, or through Fesman, David P via phone (513) 733-8100.

Contact Information

Primary practice address
2237 S Smithville Rd Kettering OH 45420-1461
Phone: (937) 256-0000
Fax: (937) 256-0844
Website:
Map and Directions
Authorized official contact:
Name: Fesman, David P
Phone: (513) 733-8100

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1891725115
LBN Legal business name Queen City Med Mart Llc
DBA Doing business as
Authorized official Fesman, David P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 20th, 2017 - about 9 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 1891725115 NPPES
Ohio MEDICAID 0296200

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