Provider Demographics
NPI:1184803553
Name:DAY MEDICAL SUPPLY COMPANY
Entity type:Organization
Organization Name:DAY MEDICAL SUPPLY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-9044
Mailing Address - Street 1:625 JEALOUSE WAY STE 119
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2578
Mailing Address - Country:US
Mailing Address - Phone:972-291-9044
Mailing Address - Fax:972-291-9440
Practice Address - Street 1:625 JEALOUSE WAY STE 119
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2578
Practice Address - Country:US
Practice Address - Phone:972-291-9044
Practice Address - Fax:972-291-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0094936332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6003020001Medicare NSC