SOUTHERN MEDICAL SUPPLY CO NPI 1649341736

NPI Information

NPI: 1649341736
Provider Name: SOUTHERN MEDICAL SUPPLY CO
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5009 DEVONWOOD CT
RALEIGH, NC
ZIP 27609
Phone: (919) 876-5522
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SOUTHERN MEDICAL SUPPLY CO is a durable medical equipment medical supplies in Raleigh, 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. SOUTHERN MEDICAL SUPPLY CO NPI is 1649341736. The provider is registered as an organization entity type.

The provider's business location address is:

5009 DEVONWOOD CT
RALEIGH, NC
ZIP 27609
Phone: (919) 876-5522
Fax: (919) 876-9435

The provider's authorized official is Jennifer Lee Sorensen .
The authorized official title is President and has the following contact phone number (919) 876-5522.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/13/2008.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies		A259257	NORTH CAROLINA	Yes

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
1	0494V	OTHER	NORTH CAROLINA	BCBS OF NC
2	0151520001	MEDICARE NSC	NORTH CAROLINA
3	153146800	OTHER	NORTH CAROLINA	US DEPT LABOR ACS
4	7700411	MEDICAID	NORTH 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: 4/28/2024

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