Provider Demographics
NPI:1104179803
Name:MEDCARE EQUIPMENT COMPANY LLC
Entity Type:Organization
Organization Name:MEDCARE EQUIPMENT COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:S.
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MASTANDREA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-503-5554
Mailing Address - Street 1:115 EQUITY DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7190
Mailing Address - Country:US
Mailing Address - Phone:800-503-5554
Mailing Address - Fax:
Practice Address - Street 1:1700 PEACH ST
Practice Address - Street 2:SUITE 104
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2134
Practice Address - Country:US
Practice Address - Phone:814-877-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies