Provider Demographics
NPI:1578620530
Name:QUAL-MED SERV, INC.
Entity Type:Organization
Organization Name:QUAL-MED SERV, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-201-0011
Mailing Address - Street 1:2781 WESTBELT DR STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-3890
Mailing Address - Country:US
Mailing Address - Phone:740-201-0011
Mailing Address - Fax:740-201-0099
Practice Address - Street 1:2781 WESTBELT DR STE C
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-3890
Practice Address - Country:US
Practice Address - Phone:740-201-0011
Practice Address - Fax:740-201-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0894135Medicaid
OH0894135Medicaid
OH=========OtherCOINSURANCE CARRIERS