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KANAWHA MEDICAL SUPPLY INC NPI 1134106578


NPI Information

NPI: 1134106578
Provider Name: KANAWHA MEDICAL SUPPLY INC

Doing Business As: KANAWHA HEALTHCARE SERVICES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7009 FOREST HILL AVE
RICHMOND, VA
ZIP 23225
Phone: (804) 330-5937
Get Directions

KANAWHA MEDICAL SUPPLY INC is a durable medical equipment medical supplies in Richmond, VA. 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. KANAWHA MEDICAL SUPPLY INC NPI is 1134106578. The provider is registered as an organization entity type.
The provider Is Doing Business As Kanawha Healthcare Services.

The provider's business location address is:

7009 FOREST HILL AVE
RICHMOND, VA
ZIP 23225-607
Phone: (804) 330-5937
Fax: (804) 330-7149

The provider's authorized official is Dyane B Pergerson .
The authorized official title is Owner/vice President and has the following contact phone number (434) 352-7671.

The enumeration date for this NPI number is 12/28/2005 and was last updated on 4/10/2013.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10087009400MEDICAIDVIRGINIA
20087720295MEDICAIDVIRGINIA
3009132287MEDICAIDVIRGINIA
40102224273MEDICAIDVIRGINIA
50715500001MEDICARE NSCVIRGINIA
6231350OTHERANTHEM BCBS
70102181440MEDICAIDVIRGINIA
80102181952MEDICAIDVIRGINIA
91437165057MEDICAIDVIRGINIA
100102164867MEDICAIDVIRGINIA

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

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