| Name | Value |
|---|---|
| PROVIDER TYPE | Suppliers |
| CLASSIFICATION | Durable Medical Equipment & Medical Supplies |
| DEFINITION | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
| STATUS | Active |
| X12 CODE | 332B00000X |
| SPECIALTY CODE | 87 |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255477 |
| EFFECTIVE DATE/TIME |
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