Provider Demographics
NPI:1972823912
Name:OMEGA MEDICAL SOLUTIONS OF OHIO
Entity Type:Organization
Organization Name:OMEGA MEDICAL SOLUTIONS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-502-8051
Mailing Address - Street 1:PO BOX 14274
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-7274
Mailing Address - Country:US
Mailing Address - Phone:330-953-1903
Mailing Address - Fax:888-742-7612
Practice Address - Street 1:6541 CLINGAN RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-2133
Practice Address - Country:US
Practice Address - Phone:330-953-1903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH89874567332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies