Provider Demographics
NPI:1235121906
Name:WINTHROP DME SERVICES INC
Entity Type:Organization
Organization Name:WINTHROP DME SERVICES INC
Other - Org Name:CLEAR CHOICE OXYGEN & MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAURENCE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SZELIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-290-0001
Mailing Address - Street 1:1330 MARTHA BERRY BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1616
Mailing Address - Country:US
Mailing Address - Phone:706-290-0001
Mailing Address - Fax:706-290-9443
Practice Address - Street 1:1330 MARTHA BERRY BLVD NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-1616
Practice Address - Country:US
Practice Address - Phone:706-290-0001
Practice Address - Fax:706-290-9443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00448577BMedicaid
GA00448577BMedicaid