Provider Demographics
NPI:1093876930
Name:PITIFER ACE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:PITIFER ACE MEDICAL EQUIPMENT, INC.
Other - Org Name:ACE MEDICAL EQUIPMENT, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PITIFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-771-4976
Mailing Address - Street 1:7405 W 82ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4935
Mailing Address - Country:US
Mailing Address - Phone:806-771-4976
Mailing Address - Fax:806-771-2433
Practice Address - Street 1:7405 82ND ST
Practice Address - Street 2:SUITE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4935
Practice Address - Country:US
Practice Address - Phone:806-771-4976
Practice Address - Fax:806-771-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184486203Medicaid
TX184486201Medicaid
TX184486202Medicaid
TX184486202Medicaid