Organization · Type 2 NPI
Custom Healthcare, LLC
Customized Equipment (DME) · Phenix City, AL
NPI number
1083195663
Active
Practice location
902 12th St Ste B
Phenix City, AL 36867-5827
Fax (423) 648-9366
Mailing address
3700 Brainerd Rd
Chattanooga, TN 37411-3603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1511 (AL) |
| Customized Equipment (DME) Primary | 332BC3200X | 1511 (AL) |
| Prosthetic/Orthotic Supplier | 335E00000X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1083195663
Custom Healthcare, LLC's National Provider Identifier is 1083195663, issued on Aug 22, 2018. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Phenix City, AL. The record was last updated on Mar 8, 2019.