Provider Demographics
NPI:1972611432
Name:MED BEEP CORPORATION
Entity Type:Organization
Organization Name:MED BEEP CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:OBI
Authorized Official - Suffix:
Authorized Official - Credentials:PTA, BS,MBA
Authorized Official - Phone:219-884-8933
Mailing Address - Street 1:4950 BROADWAY STE M
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46408-4654
Mailing Address - Country:US
Mailing Address - Phone:219-884-8933
Mailing Address - Fax:219-980-5616
Practice Address - Street 1:4950 BROADWAY STE M
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46408-4654
Practice Address - Country:US
Practice Address - Phone:219-884-8933
Practice Address - Fax:219-980-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-26
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN69000148A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770992Medicaid
IN200427870Medicaid
IL=========001Medicaid
TX1770992Medicaid