Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1770558173 |
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| LBN Legal business name | MADISON COUNTY MEDICAL EQUIPMENT INC | ||||||||||||||||||||||||||||||||
| Authorized official | WENDY RUSSALESI - (CCO) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||||||||||||||
| Enumeration date | 02/20/2006 | ||||||||||||||||||||||||||||||||
| Last updated | 10/14/2025 - About 8 months ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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