Provider Demographics
NPI:1720735624
Name:MEDICAL SERVICE COMPANY
Entity Type:Organization
Organization Name:MEDICAL SERVICE COMPANY
Other - Org Name:MEDICAL SERVICE COMPNAIES
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:440-232-3411
Practice Address - Street 1:5625 E VIRGINIA ST STE B&C
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2652
Practice Address - Country:US
Practice Address - Phone:812-485-4600
Practice Address - Fax:812-485-6513
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL SERVICE COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-10
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