Provider Demographics
NPI:1518928779
Name:MED EQUIP SOLUTIONS INC
Entity type:Organization
Organization Name:MED EQUIP SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HIERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-726-0210
Mailing Address - Street 1:5303 WESCONNETT BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-7832
Mailing Address - Country:US
Mailing Address - Phone:904-726-0210
Mailing Address - Fax:904-652-0326
Practice Address - Street 1:5303 WESCONNETT BLVD
Practice Address - Street 2:STE 101
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-7832
Practice Address - Country:US
Practice Address - Phone:904-726-0210
Practice Address - Fax:904-652-0326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312026332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL687244100Medicaid
FL687408879Medicaid
FL687321900Medicaid
FL026633701Medicaid
FL687601303Medicaid
FL026633700Medicaid
FL688747398Medicaid
FL687601396Medicaid
R9551OtherBCBS
FL026633700Medicaid