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EMILY A STACKS NPI 1316124779


NPI Information

NPI: 1316124779
Provider Name: EMILY A STACKS

Former Legal Business Name: DIABETIC SUPPLY PROVIDERS

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
503 SHORELINE DR
LANCASTER, SC
ZIP 29720
Phone: (803) 283-0870
Get Directions

EMILY A STACKS is a durable medical equipment medical supplies in Lancaster, SC. 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. EMILY A STACKS NPI is 1316124779. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Diabetic Supply Providers.

The provider's business location address is:

503 SHORELINE DR
LANCASTER, SC
ZIP 29720-006
Phone: (803) 283-0870
Fax: (803) 283-3387

The provider's authorized official is Emily Stacks .
The authorized official title is Owner and has the following contact phone number (803) 283-0870.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 11/15/2011.


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 SuppliesSOUTH CAROLINAYes

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
1DM0797MEDICAIDSOUTH CAROLINA
26087080001MEDICARE NSCSOUTH CAROLINA

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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