TWIN STATES VITAL CARE INC. NPI 1467568337

NPI Information

  • NPI: 1467568337
  • Provider Name: TWIN STATES VITAL CARE, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MEDICINE MART VITAL CARE
  • Address: 218B S MAIN ST
    TABOR CITY, NC
    ZIP 28463
  • Phone: (910) 653-6169

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NPI Details

TWIN STATES VITAL CARE, INC. is a durable medical equipment medical supplies in Tabor City, 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. TWIN STATES VITAL CARE, INC. NPI is 1467568337. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Mart Vital Care.

The provider's business location address is:

218B S MAIN ST
TABOR CITY, NC
ZIP 28463-904
Phone: (910) 653-6169
Fax: (910) 653-6078

The provider's authorized official is Sterling Grady Koonce .
The authorized official title is Manager and has the following contact phone number (910) 653-6169.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/22/2020.

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 Supplies2627-IRLOUISIANAYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment2627-IRLOUISIANAX
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition2627-IRLOUISIANAX
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies2627-IRLOUISIANAX
5333600000XPharmacy2627-IRLOUISIANAX
63336C0003XPharmacyCommunity/Retail Pharmacy2627-IRLOUISIANAX
73336H0001XPharmacyHome Infusion Therapy Pharmacy2627-IRLOUISIANAX
83336L0003XPharmacyLong Term Care Pharmacy2627-IRLOUISIANAX
93336M0002XPharmacyMail Order Pharmacy2627-IRLOUISIANAX
103336S0011XPharmacySpecialty Pharmacy2627-IRLOUISIANAX

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
1DE2065MEDICAIDSOUTH CAROLINA
27703531MEDICAIDNORTH CAROLINA
37N7828MEDICAIDSOUTH CAROLINA
40245837MEDICAIDNORTH CAROLINA
56800472MEDICAIDNORTH 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: 3/30/2025

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