Provider Demographics
NPI:1922066919
Name:NORTHWEST OHIO MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:NORTHWEST OHIO MEDICAL EQUIPMENT LLC
Other - Org Name:WOOD COUNTY MEDICAL EQUIPMENT AND SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTPHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-423-9712
Mailing Address - Street 1:1749 TIFFIN AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6833
Mailing Address - Country:US
Mailing Address - Phone:419-423-9712
Mailing Address - Fax:419-420-8105
Practice Address - Street 1:1204 W WOOSTER ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2671
Practice Address - Country:US
Practice Address - Phone:419-352-7021
Practice Address - Fax:419-352-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-02
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH87032943332B00000X
332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2385315Medicaid
OH2385315Medicaid