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Contact Information

AMERICAN DURABLE MEDICAL EQUIPMENT AND SUPPLIES LLC
21901 HARPER AVE
SAINT CLAIR SHORES, MI48080-2217
 Phone: 586-863-1840
 Fax: 586-863-1841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for AMERICAN DURABLE MEDICAL EQUIPMENT AND SUPPLIES LLC

NPI # 1326106030
LBN Legal business name AMERICAN DURABLE MEDICAL EQUIPMENT AND SUPPLIES LLC
Authorized official MFON OWOROETOP - (PRESIDENT/CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 01/25/2012 - About 14 years ago
Identifiers
MI Medicaid 4538970
MI Other 4834100001 ABP ADMINISTRATION
MI Other 540H21560 BCBS-MI FED EMPLOYEE PROG
MI Other 540E017240 BLUE CARE NETWORK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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