Organization
WV DURABLE MEDICAL EQUIPMENT CO, LLC
Active
Other names
MedCare WV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES CHRISTOPHER PALLOTTA (MEMBER)
(304) 692-9730
Entity
Organization
Contact information
Practice address
34 OAKWOOD RD, FAIRMONT, WV 26554-2465
(304) 367-1088
(304) 367-1066
Mailing address
PO BOX 469, FAIRMONT, WV 26555-0469
(304) 367-1088
(304) 367-1066
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007649
—
WV
Enumeration date
08/13/2006
Last updated
03/28/2008
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