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Contact Information

EXPRESS MEDICAL SUPPLY LLC
2615 E COLLEGE AVE
STATE COLLEGE, PA16801
 Phone: 814-308-8155
 Fax: 814-308-8584
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for EXPRESS MEDICAL SUPPLY LLC

NPI Number 1417233545
LBN Legal business name EXPRESS MEDICAL SUPPLY LLC
Authorized official MEHDI NIKPARVARFARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2011
Last updated 11/03/2011 - About 15 years ago
Identifiers
PA License # MD424252
PA Medicaid 1010805460001
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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