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DOC SUPPLY OF WEST TENNESSEE LLC NPI 1619290657


NPI Information

NPI: 1619290657
Provider Name: DOC SUPPLY OF WEST TENNESSEE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
201 LAKEVIEW RD
SUITE D
SOMERVILLE, TN
ZIP 38068
Phone: (901) 620-6900
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DOC SUPPLY OF WEST TENNESSEE, LLC is a durable medical equipment medical supplies in Somerville, TN. 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. DOC SUPPLY OF WEST TENNESSEE, LLC NPI is 1619290657. The provider is registered as an organization entity type.

The provider's business location address is:

201 LAKEVIEW RD
SUITE D
SOMERVILLE, TN
ZIP 38068-742
Phone: (901) 620-6900
Fax: (800) 481-1206

The provider's authorized official is Robert T Baldridge .
The authorized official title is Owner and has the following contact phone number (800) 306-5160.

The enumeration date for this NPI number is 3/4/2010 and was last updated on 12/29/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment1014TENNESSEENo
2332B00000XDurable Medical Equipment & Medical Supplies1014TENNESSEEYes

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
16364310002MEDICARE NSCTENNESSEE

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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