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PALMETTO HOME MEDICAL PRODUCTS INC. NPI 1235352238


NPI Information

NPI: 1235352238
Provider Name: PALMETTO HOME MEDICAL PRODUCTS, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 42D2022664

Address:
212 S MAIN ST
MULLINS, SC
ZIP 29574
Phone: (843) 464-0061
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PALMETTO HOME MEDICAL PRODUCTS, INC. is a durable medical equipment medical supplies in Mullins, 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. PALMETTO HOME MEDICAL PRODUCTS, INC. NPI is 1235352238. The provider is registered as an organization entity type.

The provider's business location address is:

212 S MAIN ST
MULLINS, SC
ZIP 29574-120
Phone: (843) 464-0061
Fax: (843) 464-0056

The provider's authorized official is David Stokes Brooks .
The authorized official title is President and has the following contact phone number (843) 464-0061.

The CLIA number assigned to this NPI record is 42D2022664 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/10/2007 and was last updated on 6/13/2012.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
2332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies4629SOUTH CAROLINANo
3332B00000XDurable 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
1DE1420MEDICAIDSOUTH CAROLINA
21244180001MEDICARE ID-TYPE UNSPECIFIEDSOUTH 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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