Organization
VAN'S-DASCO HOME MEDICAL EQUIPMENT, LLC
Active
Other names
DASCO HOME MEDICAL EQUIPMENT, Van's Medical Equipment of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL A MAZUR (CEO)
(614) 203-3332
Entity
Organization
Contact information
Practice address
1088 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 927-8635
(269) 925-4167
Mailing address
375 N WEST ST, WESTERVILLE, OH 43082-1400
(614) 901-2226
(614) 901-2228
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710169677
—
MI
01
—
54-0-A1-1200-0
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
12/03/2007
Last updated
05/13/2024
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