Provider Demographics
NPI:1609347970
Name:DURAMED INC
Entity Type:Organization
Organization Name:DURAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:DECASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-467-4057
Mailing Address - Street 1:1015 24TH ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-5268
Mailing Address - Country:US
Mailing Address - Phone:504-467-4057
Mailing Address - Fax:
Practice Address - Street 1:70326 HIGHWAY 59 STE 7
Practice Address - Street 2:
Practice Address - City:ABITA SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70420-3181
Practice Address - Country:US
Practice Address - Phone:985-624-9710
Practice Address - Fax:985-624-9711
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DURAMED INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies