Fayette Medical Supply, Inc.

LBN: Fayette Medical Supply, Inc.
Fayette Medical Supply, Inc. is an health care organization with primary practice located at 362 E Travis St , La Grange TX 78945-2619. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Fayette Medical Supply, Inc. can be contacted via phone (979) 968-6680, or through Hernandez, Albert T. via phone (979) 968-6680.

Contact Information

Primary practice address
362 E Travis St La Grange TX 78945-2619
Phone: (979) 968-6680
Fax: (866) 272-1911
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Albert T.
Phone: (979) 968-6680

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier 225CA2500X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0031424 Texas

Profile Details

NPI number 1295790061
LBN Legal business name Fayette Medical Supply, Inc.
DBA Doing business as
Authorized official Hernandez, Albert T.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 4th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295790061 NPPES
Texas MEDICAID 0156085-01
Texas Other 506466

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