Organization
MID ATLANTIC MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL H LANEHART CRT (PRESIDENT)
(717) 762-9555
Entity
Organization
Contact information
Practice address
620 WEST MAIN STREET, WAYNESBORO, PA 17268
(717) 762-9555
(717) 762-1967
Mailing address
620 WEST MAIN STREET, WAYNESBORO, PA 17268
(717) 762-9555
(717) 762-1967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
800001034
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
3000007277
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011031920001
—
PA
01
—
0203738
HIGHMARK
—
01
—
39HA53
CAPITAL
—
Enumeration date
12/19/2006
Last updated
07/08/2008
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