Edge Medical Supply, Llc
LBN: Edge Medical Supply, Llc
Edge Medical Supply, Llc is an health care organization with primary practice located at 411 E Rusk St , Jacksonville TX 75766. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Edge Medical Supply, Llc can be contacted via phone (903) 541-0220, or through Griggs, Stephen P. via phone (407) 206-0040.
Contact Information
Primary practice address
411 E Rusk St
Jacksonville TX 75766
Phone: (903) 541-0220
Fax: (903) 541-0440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1073613147 |
|---|---|
| LBN Legal business name | Edge Medical Supply, Llc |
| DBA Doing business as | |
| Authorized official | Griggs, Stephen P. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 25th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073613147 | NPPES |
| Texas | MEDICAID | 158217413 | |
| Texas | MEDICAID | 158127403 |
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