Liberty Medical Specialties, Inc

LBN: Liberty Medical Specialties, Inc
Liberty Medical Specialties, Inc is an health care organization with primary practice located at 2224 South 17Th Street , Wilmington NC 28401. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Liberty Medical Specialties, Inc can be contacted via phone (910) 763-8229, or through Jones, Tamara Lynn via phone (910) 642-2250.

Contact Information

Primary practice address
2224 South 17Th Street Wilmington NC 28401
Fax:
Website:
Authorized official contact:
Name: Jones, Tamara Lynn

Health care specialties

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

Profile Details

NPI number 1518171800
LBN Legal business name Liberty Medical Specialties, Inc
DBA Doing business as
Authorized official Jones, Tamara Lynn
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Oct 5th, 2011 - about 13 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 1518171800 NPPES
North Carolina Other 0476T BCBS
North Carolina MEDICAID 7704121 BCBS

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