Provider Demographics
NPI:1225022791
Name:GALAXY MEDICAL PRODUCTS, INC.
Entity Type:Organization
Organization Name:GALAXY MEDICAL PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:EMICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-576-5103
Mailing Address - Street 1:1133 MEDINA RD
Mailing Address - Street 2:STE 800
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5914
Mailing Address - Country:US
Mailing Address - Phone:330-665-4700
Mailing Address - Fax:330-665-4199
Practice Address - Street 1:1133 MEDINA RD
Practice Address - Street 2:STE 800
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5914
Practice Address - Country:US
Practice Address - Phone:330-665-4700
Practice Address - Fax:330-665-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-09
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH77-181358332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2181786Medicaid
OH2181786Medicaid