Organization
MEDEQUIP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RUSSELL (PRESIDENT)
(413) 737-5466
Entity
Organization
Contact information
Practice address
134 BLISS ST, WEST SPRINGFIELD, MA 01089-3435
(413) 737-5466
(413) 734-5158
Mailing address
134 BLISS ST, WEST SPRINGFIELD, MA 01089-3435
(413) 737-5466
(413) 734-5158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525689
—
MA
01
—
191854
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/16/2006
Last updated
08/22/2020
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