Provider Demographics
NPI:1982183026
Name:GULF MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:GULF MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:WALSH
Authorized Official - Last Name:CRISMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-877-7548
Mailing Address - Street 1:102 CABLE DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-2201
Mailing Address - Country:US
Mailing Address - Phone:844-877-7548
Mailing Address - Fax:337-205-8631
Practice Address - Street 1:102 CABLE DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-2201
Practice Address - Country:US
Practice Address - Phone:844-877-7548
Practice Address - Fax:337-205-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment