PRO-MED 1 INC NPI 1073509444

NPI Information

NPI: 1073509444
Provider Name: PRO-MED 1 INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3489 LADSON RD
SUITE B
LADSON, SC
ZIP 29456
Phone: (843) 832-8397
Get Directions

PRO-MED 1 INC is a customized equipment durable medical equipment medical supplies in Ladson, SC. PRO-MED 1 INC NPI is 1073509444. The provider is registered as an organization entity type.

The provider's business location address is:

3489 LADSON RD
SUITE B
LADSON, SC
ZIP 29456-330
Phone: (843) 832-8397
Fax: (843) 832-0552

The provider's authorized official is Deborah Sue Slocum .
The authorized official title is President and has the following contact phone number (843) 832-8397.

The enumeration date for this NPI number is 9/21/2005 and was last updated on 3/20/2008.

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 State	Primary
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	SOUTH CAROLINA	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	SOUTH CAROLINA	No
3	335E00000X	Prosthetic/Orthotic Supplier		SOUTH CAROLINA	No
4	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	SOUTH 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	DE1156	MEDICAID	SOUTH CAROLINA
2	1190700001	MEDICARE NSC	SOUTH 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

NPI Synchronization or Removal

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