Provider Demographics
NPI:1386685899
Name:CENTRAL MEDICAL EQUIPMENT COMPANY INC
Entity Type:Organization
Organization Name:CENTRAL MEDICAL EQUIPMENT COMPANY INC
Other - Org Name:DYNAMIC HEALTHCARE SERVICES PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRABKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-343-3303
Mailing Address - Street 1:35 SARHELM RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-3339
Mailing Address - Country:US
Mailing Address - Phone:717-657-2100
Mailing Address - Fax:717-657-2176
Practice Address - Street 1:35 SARHELM RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-3339
Practice Address - Country:US
Practice Address - Phone:717-657-2100
Practice Address - Fax:717-657-2176
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMIC HEALTHCARE SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011810180001Medicaid
PA122124OtherUNISON PROVIDER NUMBER
PA27172OtherW & F PROVIDER NUMBER
PA39HA33OtherCAP BLUE PROVIDER NUMBER
PA1503883OtherGATEWAY PROVIDER NUMBER
PA2143OtherHEALTH AMERICA PROVIDER #
PA289373OtherHIGHMARK PROV NUMBER
PA=========OtherSOUTH CENTRAL PROVIDER #
PA1503883OtherGATEWAY PROVIDER NUMBER