Organization
SHOW ME MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP VASTA (OWNER)
(417) 256-2526
Entity
Organization
Contact information
Practice address
1208 PORTER WAGONER BLVD STE 3, WEST PLAINS, MO 65775-1854
(417) 256-2526
(417) 256-2079
Mailing address
1208 PORTER WAGONER BLVD STE 3, WEST PLAINS, MO 65775-1854
(417) 256-2526
(417) 256-2079
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
—
1942646245
—
MO
Enumeration date
05/14/2013
Last updated
04/16/2020
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