Provider Demographics
NPI:1407984834
Name:BARTON-CAREY MEDICAL PRODUCTS,INC.
Entity Type:Organization
Organization Name:BARTON-CAREY MEDICAL PRODUCTS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CUSTOMER SERVICE
Authorized Official - Prefix:MISS
Authorized Official - First Name:FREDRICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-421-0444
Mailing Address - Street 1:1331 CONANT STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537
Mailing Address - Country:US
Mailing Address - Phone:800-421-0444
Mailing Address - Fax:
Practice Address - Street 1:1331 CONANT STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537
Practice Address - Country:US
Practice Address - Phone:800-421-0444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN76138Medicaid
ILN287003OtherHARMONY HEALTH
MI2715261Medicaid
127863500OtherUS DEPARTMENT OF LABOR
OH0623534Medicaid
ILN287003OtherHARMONY HEALTH
OH0623534Medicaid