CAROLINA MEDICAL SPECIALTIES INC. NPI 1609944024

NPI Information

NPI: 1609944024
Provider Name: CAROLINA MEDICAL SPECIALTIES, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1111 1/2 BRAGG BLVD
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 485-0500
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CAROLINA MEDICAL SPECIALTIES, INC. is a customized equipment durable medical equipment medical supplies in Fayetteville, NC. CAROLINA MEDICAL SPECIALTIES, INC. NPI is 1609944024. The provider is registered as an organization entity type.

The provider's business location address is:

1111 1/2 BRAGG BLVD
FAYETTEVILLE, NC
ZIP 28301-513
Phone: (910) 485-0500
Fax: (910) 485-2060

The provider's authorized official is Dimitri K. Sleem .
The authorized official title is Director and has the following contact phone number (910) 485-0500.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 1/18/2008.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		01069	NORTH CAROLINA	No
2	335E00000X	Prosthetic/Orthotic Supplier		01069	NORTH CAROLINA	No
3	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	01069	NORTH CAROLINA	Yes

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
1	7704467	MEDICAID	NORTH CAROLINA
2	5650180001	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	FAYETTEVILLE, NC

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

NPI Synchronization or Removal

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