Provider Demographics
NPI:1437455755
Name:WESTERN MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:WESTERN MEDICAL EQUIPMENT, LLC
Other - Org Name:WESTERN MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:WORTHINGTON
Authorized Official - Last Name:OFFUTT
Authorized Official - Suffix:IV
Authorized Official - Credentials:DME CERTIFICATION
Authorized Official - Phone:307-200-6222
Mailing Address - Street 1:P.O. BOX 2586
Mailing Address - Street 2:180 N CENTER STREET #5
Mailing Address - City:JACKSON
Mailing Address - State:WY
Mailing Address - Zip Code:83001-2586
Mailing Address - Country:US
Mailing Address - Phone:307-690-0756
Mailing Address - Fax:877-468-1214
Practice Address - Street 1:180 N. CENTER STREET #5
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:WY
Practice Address - Zip Code:83001-2586
Practice Address - Country:US
Practice Address - Phone:307-200-6222
Practice Address - Fax:877-468-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies