Provost Shoes
Durable Medical Equipment & Medical Supplies
25 Laurel Mall, Hazleton
Pennsylvania, 18202-1201
570-455-7704 570-455-7704
Provost Shoes is a Durable Medical Equipment & Medical Supplies in Hazleton, Pennsylvania. It is located at 25 Laurel Mall, Hazleton and it's customer support contact number is 570-455-7704. The authorized person of Provost Shoes is John M Provost, C. PED who is Owner of this DME and his contact number is 570-455-7704. Active license number of Provost Shoes is 4244780002 for Durable Medical Equipment & Medical Supplies in Pennsylvania.
Provost Shoes is 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.
DME Supplier Details:
Provost Shoes type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Provost Shoes |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 25 Laurel Mall, Hazleton,
Pennsylvania, 18202-1201 |
| Phone: | 570-455-7704 |
| Fax: | 570-455-7704 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | John M Provost |
| Credentials: | C. PED |
| Position: | Owner |
| Contact Number: | 570-455-7704 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1447431945 |
| NPI Enumeration Date: | 26 Nov, 2007 |
| NPI Last Update On: | 05 Dec, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Provost Shoes are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 4244780002 | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| A08009797 | Other | | Medicare Edi Billing Numb |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 25 Laurel Mall,
Hazleton, Pennsylvania |
| Zip: | 18202-1201 |
| Phone Number: | 570-455-7704 |
| Fax Number: | 570-455-7704 |
Patients can reach Provost Shoes at
25 Laurel Mall, Hazleton, Pennsylvania or can
call on customer care at 570-455-7704.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.