Organization
WASHINGTON MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON J RAE (DIRECTOR OF OPERATIONS)
(724) 222-2545
Entity
Organization
Contact information
Practice address
1100 W CHESTNUT ST, WASHINGTON, PA 15301-4631
(724) 222-2545
(724) 222-2579
Mailing address
1100 W CHESTNUT ST, WASHINGTON, PA 15301-4631
(724) 222-2545
(724) 222-2579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
82072071
PA
332BC3200X
Customized Equipment (DME)
82072071
PA
332BN1400X
Nursing Facility Supplies (DME)
82072071
PA
332BX2000X
Oxygen Equipment & Supplies (DME)
82072071
PA
335E00000X
Prosthetic/Orthotic Supplier
82072071
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18871720001
—
PA
01
—
246892
BLUE SHIELD NUMBER
PA
Enumeration date
05/24/2006
Last updated
10/31/2007
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