Provider Demographics
NPI:1699337006
Name:MEDICAL SERVICE COMPANY
Entity type:Organization
Organization Name:MEDICAL SERVICE COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OPERATIONS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-735-3096
Mailing Address - Street 1:24000 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-6329
Mailing Address - Country:US
Mailing Address - Phone:440-232-3000
Mailing Address - Fax:440-232-3411
Practice Address - Street 1:29524 SOUTHFIELD RD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2079
Practice Address - Country:US
Practice Address - Phone:248-743-9100
Practice Address - Fax:248-743-9111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL SERVICE COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-05
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies