Provider Demographics
NPI:1821297805
Name:MYHEALTH MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:MYHEALTH MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUCHHEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-615-0700
Mailing Address - Street 1:73 OLD STONEFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-9507
Mailing Address - Country:US
Mailing Address - Phone:585-615-0700
Mailing Address - Fax:
Practice Address - Street 1:1441 MONROE AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-1007
Practice Address - Country:US
Practice Address - Phone:585-461-3053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5966420001Medicare NSC