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UDDERLY NUTRITIOUS NPI 1053336966


NPI Information

NPI: 1053336966
Provider Name: UDDERLY NUTRITIOUS

Doing Business As: LIBERTY MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
348 MAIN ST
SAVANNAH, TN
ZIP 38372
Phone: (731) 926-4320
Get Directions

UDDERLY NUTRITIOUS is a durable medical equipment medical supplies in Savannah, TN. The provider 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. UDDERLY NUTRITIOUS NPI is 1053336966. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Medical Supply.

The provider's business location address is:

348 MAIN ST
SAVANNAH, TN
ZIP 38372-051
Phone: (731) 926-4320
Fax: (731) 926-4332

The provider's authorized official is Rick Murphy .
The authorized official title is Ceo and has the following contact phone number (731) 926-4320.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies0000000835TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1156084OTHERTENNESSEEBETTER HEALTH PROVIDER NU
24819530001MEDICARE NSCTENNESSEE
302985814OTHERMISSISSIPPIMISSISSIPPI MEDICAD NUMBE
41454473MEDICAIDTENNESSEE
54085270OTHERTENNESSEEBCBS OF TN PROVIDER NUMBE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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