Provider Demographics
NPI:1841380540
Name:GWR MEDICAL, INC.
Entity Type:Organization
Organization Name:GWR MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & COO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-558-6000
Mailing Address - Street 1:4 HILLMAN DR
Mailing Address - Street 2:STE 106
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9780
Mailing Address - Country:US
Mailing Address - Phone:610-558-6000
Mailing Address - Fax:610-558-1280
Practice Address - Street 1:4 HILLMAN DR
Practice Address - Street 2:STE 106
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9780
Practice Address - Country:US
Practice Address - Phone:610-558-6000
Practice Address - Fax:610-558-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005608332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4592670001Medicare NSC