Organization
MEDICAL RENTALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S PRATER (PRESIDENT)
(731) 587-5876
Entity
Organization
Contact information
Practice address
152 MT PELIA RD, MARTIN, TN 38237
(731) 587-5876
(731) 587-4749
Mailing address
152 MT PELIA RD, MARTIN, TN 38237
(731) 587-5876
(731) 587-4749
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000479
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
1011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000025415
BLUE CROSS BLUE SHIELD
TN
05
—
3543540
—
TN
Enumeration date
10/02/2006
Last updated
10/01/2015
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