Cameo Bra Shop

LBN: Helen Gordon
Cameo Bra Shop is an health care organization with primary practice located at 3578 Heathrow Dr , Winston Salem NC 27127-4674. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Helen Gordon can be contacted via phone (336) 788-3052, or through Gordon, Helen D via phone (336) 788-3052.

Contact Information

Primary practice address
3578 Heathrow Dr Winston Salem NC 27127-4674
Phone: (336) 788-3052
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Helen D MEDICARE PROVIDER DM
Phone: (336) 788-3052

Health care specialties

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

Profile Details

NPI number 1477536449
LBN Legal business name Helen Gordon
DBA Doing business as Cameo Bra Shop
Authorized official Gordon, Helen D MEDICARE PROVIDER DM
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 10th, 2008 - about 16 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 1477536449 NPPES
North Carolina Other 0474C BCBS NC
North Carolina Other 2404 BCBS NC
North Carolina MEDICAID 7701509 BCBS NC

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