Provider Demographics
NPI:1417041948
Name:MEDINA COUNTY MEDICAL EQUIPMENT CO INC
Entity Type:Organization
Organization Name:MEDINA COUNTY MEDICAL EQUIPMENT CO INC
Other - Org Name:WHEELCHAIRS PLUS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:RUBEN
Authorized Official - Last Name:GEARHEART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-813-4210
Mailing Address - Street 1:7340 SHADELAND STATION
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3979
Mailing Address - Country:US
Mailing Address - Phone:210-949-1660
Mailing Address - Fax:
Practice Address - Street 1:1116 E HOUSTON ST STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2031
Practice Address - Country:US
Practice Address - Phone:210-949-1660
Practice Address - Fax:210-949-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX107778601Medicaid
TX107778603Medicaid
TX107778606Medicaid
TX016062401Medicaid
TX107778603Medicaid