Provider Demographics
NPI:1750607040
Name:MEDCENTER SYSTEMS, LLC
Entity type:Organization
Organization Name:MEDCENTER SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:BRELO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:216-973-1833
Mailing Address - Street 1:10179 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1335
Mailing Address - Country:US
Mailing Address - Phone:866-600-3244
Mailing Address - Fax:
Practice Address - Street 1:10179 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-1335
Practice Address - Country:US
Practice Address - Phone:866-600-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1686676332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies