Provider Demographics
NPI:1134272230
Name:EASTERN MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:EASTERN MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:P
Authorized Official - Last Name:LOGERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-953-1812
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44501-0087
Mailing Address - Country:US
Mailing Address - Phone:330-953-1812
Mailing Address - Fax:330-953-1831
Practice Address - Street 1:762 BEV RD
Practice Address - Street 2:UNIT 3
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6480
Practice Address - Country:US
Practice Address - Phone:800-327-3210
Practice Address - Fax:330-480-9841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2002193Medicaid
1902991813Medicare UPIN
OH0124780001Medicare NSC