Organization
NETTIE D., LLC
Active
Parent organization
ROTECH HEALTHCARE INC
Other names
BP GAMMA MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROTECH HEALTHCARE INC
Authorized official
MRS. ROBIN L MENCHEN (CHIEF EXECUTIVE OFFICER)
(407) 822-4600
Entity
Organization
Contact information
Practice address
7118 GEOFFREY WAY, SUITE P, FREDERICK, MD 21704-7106
(301) 874-3390
(301) 694-9348
Mailing address
PO BOX 27968, SALT LAKE CITY, UT 84127-0968
(570) 966-8030
(800) 868-3117
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10200163
MD
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010108934
—
VA
05
—
036387100
—
DC
05
—
1027810900002
—
PA
05
—
200043711
—
DE
05
—
3810021092
—
WV
05
—
4052471-00
—
MD
Enumeration date
07/10/2006
Last updated
04/01/2024
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