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DIABETIC SUPPLY SOURCE INC DBA DSS MEDICAL NPI 1508893009


NPI Information

NPI: 1508893009
Provider Name: DIABETIC SUPPLY SOURCE, INC DBA DSS MEDICAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2805 MILLWOOD AVE
COLUMBIA, SC
ZIP 29205
Phone: (803) 799-3505
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DIABETIC SUPPLY SOURCE, INC DBA DSS MEDICAL is a durable medical equipment medical supplies in Columbia, 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. DIABETIC SUPPLY SOURCE, INC DBA DSS MEDICAL NPI is 1508893009. The provider is registered as an organization entity type.

The provider's business location address is:

2805 MILLWOOD AVE
COLUMBIA, SC
ZIP 29205-298
Phone: (803) 799-3505
Fax: (803) 779-3505

The provider's authorized official is John Shuford V Shuford .
The authorized official title is President and has the following contact phone number (803) 799-3505.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies002745SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DM0745MEDICAIDSOUTH CAROLINA
2=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD
30952170001MEDICARE ID-TYPE UNSPECIFIEDSOUTH 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: 4/28/2024

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