Provider Demographics
NPI:1912912627
Name:NATIONWIDE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:NATIONWIDE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:GUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-478-7433
Mailing Address - Street 1:1510 STUART RD NE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5858
Mailing Address - Country:US
Mailing Address - Phone:423-478-7433
Mailing Address - Fax:423-478-7441
Practice Address - Street 1:1510 STUART RD NE
Practice Address - Street 2:SUITE 109
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-5858
Practice Address - Country:US
Practice Address - Phone:423-478-7433
Practice Address - Fax:423-478-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000867332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7704517Medicaid
SCDM1224Medicaid
TN5542430001Medicare ID - Type UnspecifiedPROVIDER ID NUMBER