Provider Demographics
NPI:1477539112
Name:MED-CAIRE INC.
Entity type:Organization
Organization Name:MED-CAIRE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CZARNECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-872-0058
Mailing Address - Street 1:PO BOX 267
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-0267
Mailing Address - Country:US
Mailing Address - Phone:860-872-0058
Mailing Address - Fax:860-872-2346
Practice Address - Street 1:457 JESSEN LN
Practice Address - Street 2:UNIT A
Practice Address - City:WANDO
Practice Address - State:SC
Practice Address - Zip Code:29492-7987
Practice Address - Country:US
Practice Address - Phone:843-216-2943
Practice Address - Fax:843-216-2948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE1587Medicaid
SCDE1587Medicaid