Provider Demographics
NPI:1316657828
Name:MEDIVICE GLOBAL LLC
Entity type:Organization
Organization Name:MEDIVICE GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEDFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-652-1741
Mailing Address - Street 1:1702 24TH AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-3113
Mailing Address - Country:US
Mailing Address - Phone:888-788-7313
Mailing Address - Fax:
Practice Address - Street 1:1702 24TH AVE STE 214
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-3113
Practice Address - Country:US
Practice Address - Phone:888-788-7313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-25
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies