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SUPERIOR HEALTHCARE PHYSICAL MEDICINE NPI 1770921322


NPI Information

NPI: 1770921322
Provider Name: SUPERIOR HEALTHCARE PHYSICAL MEDICINE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3519 WITHERSPOON BLVD
SUITE 104
DURHAM, NC
ZIP 27707
Phone: (919) 401-1999
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SUPERIOR HEALTHCARE PHYSICAL MEDICINE is a durable medical equipment medical supplies in Durham, NC. 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. SUPERIOR HEALTHCARE PHYSICAL MEDICINE NPI is 1770921322. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3519 WITHERSPOON BLVD
SUITE 104
DURHAM, NC
ZIP 27707-844
Phone: (919) 401-1999
Fax: (919) 401-1998

The provider's authorized official is Venus I Pitts .
The authorized official title is Owner and has the following contact phone number (919) 401-1999.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 1/10/2014.


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
1207R00000XInternal MedicineNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

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
16844310001MEDICARE NSCNORTH 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: 11/14/2023

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