Provider Demographics
NPI:1700874674
Name:PRITCHETT MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:PRITCHETT MEDICAL EQUIPMENT INC
Other - Org Name:ASSOCIATED MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:924-524-7800
Mailing Address - Street 1:211 W MOORE AVE
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-3115
Mailing Address - Country:US
Mailing Address - Phone:972-524-7800
Mailing Address - Fax:972-563-8458
Practice Address - Street 1:211 W MOORE AVE
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-3115
Practice Address - Country:US
Practice Address - Phone:972-524-7800
Practice Address - Fax:972-563-8458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0034283332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0103053-02Medicaid
TX0103053-02Medicaid