Organization
SPECIALIZED MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MCCARTHY AO (CHIEF OPERATIONS OFFICER)
(727) 530-7700
Entity
Organization
Contact information
Practice address
2875 S 171ST ST, NEW BERLIN, WI 53151-3511
(414) 476-1112
(414) 476-6118
Mailing address
5343 N 118TH CT, MILWAUKEE, WI 53225-3085
(414) 476-1112
(414) 476-6118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505103
—
NV
05
—
120638900
—
WY
05
—
1715138
—
TX
05
—
200479890
—
IN
05
—
2478457
—
OH
05
—
41709300
—
WI
05
—
4568192
—
MI
05
—
51264
—
ND
05
—
807398300
—
ID
05
—
9056573
—
WA
05
—
906662
—
AZ
05
—
93022557
—
CO
05
—
DM1182
—
SC
Enumeration date
02/12/2007
Last updated
12/30/2020
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