Provider Demographics
NPI:1780081067
Name:DIVERSIFIED MECHANICAL SERVICE CONTRACTORS, LLC
Entity type:Organization
Organization Name:DIVERSIFIED MECHANICAL SERVICE CONTRACTORS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BIRKMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-893-7111
Mailing Address - Street 1:2401 E MCCARTY ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-4421
Mailing Address - Country:US
Mailing Address - Phone:573-893-7111
Mailing Address - Fax:573-415-0411
Practice Address - Street 1:2401 E MCCARTY ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-4421
Practice Address - Country:US
Practice Address - Phone:573-893-7111
Practice Address - Fax:573-415-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC1303784332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies