Organization
MED INC
Active
Parent organization
ROTECH HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROTECH HEALTHCARE INC
Authorized official
ROBIN L MENCHEN (CHIEF EXECUTIVE OFFICER)
(407) 822-4600
Entity
Organization
Contact information
Practice address
485 SOUTHLAKE BLVD, NORTH CHESTERFIELD, VA 23236-3044
(804) 674-6688
(804) 674-6610
Mailing address
PO BOX 27968, SALT LAKE CITY, UT 84127-0968
(570) 966-8030
(570) 966-8040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009137
VA
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009104682
—
VA
Enumeration date
08/02/2006
Last updated
04/01/2024
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