Provider Demographics
NPI:1417017716
Name:EXCEL MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:EXCEL MEDICAL SERVICES LLC
Other - Org Name:OAKVILLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-726-0070
Mailing Address - Street 1:7410 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-4203
Mailing Address - Country:US
Mailing Address - Phone:314-726-0070
Mailing Address - Fax:314-726-0070
Practice Address - Street 1:5650 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4243
Practice Address - Country:US
Practice Address - Phone:314-726-0070
Practice Address - Fax:314-726-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies