Provider Demographics
NPI:1861491904
Name:DURABLE MEDICAL EQUIPMENT SALES, INC
Entity type:Organization
Organization Name:DURABLE MEDICAL EQUIPMENT SALES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-798-6890
Mailing Address - Street 1:67 NEWTOWN RD
Mailing Address - Street 2:BERKSHIRE SHOPPING CENTER
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6272
Mailing Address - Country:US
Mailing Address - Phone:203-798-6890
Mailing Address - Fax:203-798-6805
Practice Address - Street 1:67 NEWTOWN RD
Practice Address - Street 2:BERKSHIRE SHOPPING CENTER
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6272
Practice Address - Country:US
Practice Address - Phone:203-798-6890
Practice Address - Fax:203-798-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01759851Medicaid
CT12DME0588CT01OtherANTHEM BC BS
CT004175130Medicaid
1174530003Medicare ID - Type Unspecified