Provider Demographics
NPI:1447620158
Name:MEDX MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:MEDX MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:MOWREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-275-4731
Mailing Address - Street 1:1005 N KINGSHIGHWAY ST
Mailing Address - Street 2:STE 12
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-3502
Mailing Address - Country:US
Mailing Address - Phone:573-803-2390
Mailing Address - Fax:573-803-1247
Practice Address - Street 1:780 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SIKESTON
Practice Address - State:MO
Practice Address - Zip Code:63801-2174
Practice Address - Country:US
Practice Address - Phone:573-475-8570
Practice Address - Fax:573-475-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-07
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies