Provider Demographics
NPI:1487878153
Name:GREAT VALUE HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:GREAT VALUE HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-273-0000
Mailing Address - Street 1:3220 RIVERSIDE DR
Mailing Address - Street 2:SUITE C1
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43221-1736
Mailing Address - Country:US
Mailing Address - Phone:614-273-0000
Mailing Address - Fax:614-231-2612
Practice Address - Street 1:4275 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3032
Practice Address - Country:US
Practice Address - Phone:614-231-0000
Practice Address - Fax:614-231-2612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2600108Medicaid
5487270001Medicare ID - Type Unspecified