Provider Demographics
NPI:1902897531
Name:A&C MEDCIAL SUPPLIES & EQUIPMENT,INC
Entity Type:Organization
Organization Name:A&C MEDCIAL SUPPLIES & EQUIPMENT,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-262-1671
Mailing Address - Street 1:250 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-2263
Mailing Address - Country:US
Mailing Address - Phone:203-262-1671
Mailing Address - Fax:203-262-1162
Practice Address - Street 1:250 MAIN ST S
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2263
Practice Address - Country:US
Practice Address - Phone:203-262-1671
Practice Address - Fax:203-262-1162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004130936Medicaid
CT0461260001Medicare NSC