SOUTHEASTERN HEALTH PLUS INC. NPI 1124026547

NPI Information

  • NPI: 1124026547
  • Provider Name: SOUTHEASTERN HEALTH PLUS, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 1301 48TH AVE N STE C
    MYRTLE BEACH, SC
    ZIP 29577
  • Phone: (843) 839-1374

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NPI Details

SOUTHEASTERN HEALTH PLUS, INC. is a customized equipment durable medical equipment medical supplies in Myrtle Beach, SC. SOUTHEASTERN HEALTH PLUS, INC. NPI is 1124026547. The provider is registered as an organization entity type.

The provider's business location address is:

1301 48TH AVE N STE C
MYRTLE BEACH, SC
ZIP 29577-427
Phone: (843) 839-1374
Fax: (877) 408-8192

The provider's authorized official is John J Moran .
The authorized official title is Chief Financial Offi and has the following contact phone number (843) 939-1374.

The enumeration date for this NPI number is 7/9/2005 and was last updated on 6/9/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentSOUTH CAROLINAYes

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
10974830001MEDICARE UPINSOUTH CAROLINA
2DME925MEDICAIDSOUTH 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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