Organization
PIONEER MEDICAL INC
Active
Other names
Pioneer Medical Equipment Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS SMITH (COO)
(615) 242-6655
Entity
Organization
Contact information
Practice address
566 MAINSTREAM DRIVE, SUITE 700, NASHVILLE, TN 37228-1237
(615) 242-6655
(615) 255-7416
Mailing address
566 MAINSTREAM DRIVE, SUITE 700, NASHVILLE, TN 37228-1237
(615) 242-6655
(615) 255-7416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3543393
TENN CARE NUMBER
TN
01
—
39781
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
10/02/2006
Last updated
03/10/2008
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