Organization
MEDEQUIP ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN JACOBCHICK (DIRECTOR)
(701) 323-8470
Entity
Organization
Contact information
Practice address
626 N 6TH ST, BISMARCK, ND 58501-3913
(701) 323-8470
(701) 323-8486
Mailing address
626 N 6TH ST, BISMARCK, ND 58501-3913
(701) 323-8470
(701) 323-8486
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
ND
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
ND
332BX2000X
Oxygen Equipment & Supplies (DME)
606
ND
335E00000X
Prosthetic/Orthotic Supplier
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051624
—
ND
Enumeration date
01/18/2006
Last updated
09/11/2025
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