Provider Demographics
NPI:1073748869
Name:WESTEC HEALTHCARE &MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:WESTEC HEALTHCARE &MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTINS
Authorized Official - Middle Name:ONYEMAECHI
Authorized Official - Last Name:NWAUDO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-457-4620
Mailing Address - Street 1:161 MARIE AVE E
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-4004
Mailing Address - Country:US
Mailing Address - Phone:651-457-4620
Mailing Address - Fax:651-457-2217
Practice Address - Street 1:161 MARIE AVE E
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-4004
Practice Address - Country:US
Practice Address - Phone:651-457-4620
Practice Address - Fax:651-457-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN344138251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health