LIBERTY MEDICAL SPECIALTIES INC NPI 1104921998

NPI Information

NPI: 1104921998
Provider Name: LIBERTY MEDICAL SPECIALTIES, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
612-10 E JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-2250
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LIBERTY MEDICAL SPECIALTIES, INC is a durable medical equipment medical supplies in Whiteville, 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. LIBERTY MEDICAL SPECIALTIES, INC NPI is 1104921998. The provider is registered as an organization entity type.

The provider's business location address is:

612-10 E JEFFERSON ST
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-2250
Fax: (910) 642-0109

The provider's authorized official is Tamara Lynn Jones .
The authorized official title is Billing Manager and has the following contact phone number (910) 642-2250.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 6/28/2011.

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				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	0476T	OTHER	NORTH CAROLINA	BCBS
2	DME694	MEDICAID	SOUTH CAROLINA
3	7701229	MEDICAID	NORTH CAROLINA
4	0586150001	MEDICARE ID-TYPE UNSPECIFIED	NORTH 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: 5/5/2024

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