Provider Demographics
NPI:1861172009
Name:PROTECH MEDICAL LLC
Entity type:Organization
Organization Name:PROTECH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-722-7313
Mailing Address - Street 1:1100 HATCHER LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-3530
Mailing Address - Country:US
Mailing Address - Phone:931-388-3766
Mailing Address - Fax:931-540-8209
Practice Address - Street 1:35 EXECUTIVE PARK DR STE A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3486
Practice Address - Country:US
Practice Address - Phone:800-722-7313
Practice Address - Fax:931-398-1005
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROTECH MEDICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-21
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies