Provider Demographics
NPI:1720455405
Name:MEDICAL SERVICE COMPANY
Entity Type:Organization
Organization Name:MEDICAL SERVICE COMPANY
Other - Org Name:MEDICAL SERVICE COMPANIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE OPERATIONS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-735-3096
Mailing Address - Street 1:24000 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6329
Mailing Address - Country:US
Mailing Address - Phone:440-232-3000
Mailing Address - Fax:
Practice Address - Street 1:7682 MCEWEN RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3908
Practice Address - Country:US
Practice Address - Phone:440-232-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition