Provider Demographics
NPI:1619099777
Name:MEDME SERVICES CORPORATION
Entity Type:Organization
Organization Name:MEDME SERVICES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-313-9922
Mailing Address - Street 1:PO BOX 920173
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-0004
Mailing Address - Country:US
Mailing Address - Phone:915-313-9922
Mailing Address - Fax:915-313-9955
Practice Address - Street 1:4110 RIO BRAVO ST
Practice Address - Street 2:SUITE 110
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1027
Practice Address - Country:US
Practice Address - Phone:915-313-9922
Practice Address - Fax:915-313-9955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0085310332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7099750001Medicare NSC