Provider Demographics
NPI:1437458395
Name:PROCAIR INC
Entity Type:Organization
Organization Name:PROCAIR INC
Other - Org Name:MEDICAL SERVICE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-797-1548
Mailing Address - Street 1:24000 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6329
Mailing Address - Country:US
Mailing Address - Phone:440-232-3000
Mailing Address - Fax:
Practice Address - Street 1:7499 SENECA RD N STE 6
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-9161
Practice Address - Country:US
Practice Address - Phone:440-735-3253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROCAIR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-17
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03356425Medicaid
NY03356425Medicaid