Organization
CONCORDIA MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD L MILLIRON (CEO)
(724) 352-1100
Entity
Organization
Contact information
Practice address
615 N PIKE RD, CABOT, PA 16023-2215
(724) 352-1100
(724) 352-6030
Mailing address
615 N PIKE RD, CABOT, PA 16023
(724) 352-1100
(724) 352-6030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3000008051
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017981640001
—
PA
05
—
101798164001
—
PA
Enumeration date
10/13/2006
Last updated
11/15/2011
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