SOUTHEASTERN MEDICAL SUPPLY CO NPI 1104807783

NPI Information

  • NPI: 1104807783
  • Provider Name: SOUTHEASTERN MEDICAL SUPPLY CO
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN DIABETIC SUPPLY
  • Address: 7221 BROOKFIELD RD
    COLUMBIA, SC
    ZIP 29223
  • Phone: (803) 419-6766

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NPI Details

SOUTHEASTERN MEDICAL SUPPLY CO 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. SOUTHEASTERN MEDICAL SUPPLY CO NPI is 1104807783. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Diabetic Supply.

The provider's business location address is:

7221 BROOKFIELD RD
COLUMBIA, SC
ZIP 29223-215
Phone: (803) 419-6766
Fax: (803) 419-6645

The provider's authorized official is Michael C Strange .
The authorized official title is Owner and has the following contact phone number (803) 419-6766.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/23/2009.

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 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11298730001MEDICARE NSCSOUTH CAROLINA
2DE1551MEDICAIDSOUTH 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: 11/21/2025

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