Provider Demographics
NPI:1720555113
Name:MEDIFORCE, LLC
Entity Type:Organization
Organization Name:MEDIFORCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:P
Authorized Official - Last Name:ACEBEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-423-6333
Mailing Address - Street 1:501 N ED CAREY DR STE A
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-7982
Mailing Address - Country:US
Mailing Address - Phone:956-423-6333
Mailing Address - Fax:956-423-6331
Practice Address - Street 1:2612 N MCCOLL RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5502
Practice Address - Country:US
Practice Address - Phone:956-731-6651
Practice Address - Fax:956-731-6698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDIFORCE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-24
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001634OtherTX DEPARTMENT OF STATE SERVICES