Tri-City Medical, LLC

Organization Active NPI Oxygen Equipment & Supplies (DME) · Munford, TN

NPI 1023124674 · NPPES record last updated Nov 20, 2008

Key facts

NPI
1023124674
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
TRI-CITY MEDICAL, LLC
Practice address
58 Doctors Dr
Munford, TN 38058-6301
Phone
(901) 837-9989
Fax
(901) 837-9982
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

Name
Benjamin E Locke
Title
Owner
Phone
(901) 837-9989

National Provider Directory

Locations

58 Doctors Dr
Munford, TN 38058
Phone (901) 494-2038

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

58 Doctors Dr
Munford, TN 38058-6301

Mailing address

58 Doctors Dr
Munford, TN 38058-6301
Phone (901) 837-9989

Other identifiers

IdentifierTypeStateIssuer
154886716MedicaidAR
07254065MedicaidMS

Other providers in Munford, TN

All providers in Munford, TN · Oxygen Equipment & Supplies (DME) in Tennessee

Sources for this page

Verify at the official NPI Registry.