Freestate Medical Supply, Inc.

LBN: Freestate Medical Supply, Inc.
Freestate Medical Supply, Inc. is an health care organization with primary practice located at 7830 Backlick Rd Ste 202 , Springfield VA 22150. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Freestate Medical Supply, Inc. can be contacted via phone (703) 440-9320, or through Vestal, Emily M via phone (866) 897-8588.

Contact Information

Primary practice address
7830 Backlick Rd Ste 202 Springfield VA 22150
Phone: (703) 440-9320
Fax: (772) 212-4904
Website:
Map and Directions
Authorized official contact:
Name: Vestal, Emily M
Phone: (866) 897-8588

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1114978731
LBN Legal business name Freestate Medical Supply, Inc.
DBA Doing business as
Authorized official Vestal, Emily M
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated May 16th, 2023 - about last year

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 1114978731 NPPES
New York MEDICAID 02917802
New York MEDICAID 100259473-00
New York MEDICAID 012424900
New York MEDICAID 020600937
New York MEDICAID 101897930
New York MEDICAID 1114978731
New York MEDICAID 88905314
New York MEDICAID 1114978731
New York MEDICAID 55790700
New York MEDICAID 1114978731

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