Provider Demographics
NPI:1417007097
Name:MEDIFORCE, LLC
Entity Type:Organization
Organization Name:MEDIFORCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ACEBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-6333
Mailing Address - Street 1:501 N ED CAREY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7982
Mailing Address - Country:US
Mailing Address - Phone:956-423-6333
Mailing Address - Fax:956-423-6331
Practice Address - Street 1:501 N ED CAREY DR
Practice Address - Street 2:SUITE A
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-7982
Practice Address - Country:US
Practice Address - Phone:956-423-6333
Practice Address - Fax:956-423-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0087217332B00000X
TXTXD 0013419332B00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182166201Medicaid
TX5711960001Medicare ID - Type Unspecified