Medsource

LBN: Medsource Inc.
Medsource is an health care organization with primary practice located at 1311 Augusta Rd , West Columbia SC 29169-6320. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medsource Inc. can be contacted via phone (803) 926-2919, or through Wilson, Robert G via phone (803) 926-2919.

Contact Information

Primary practice address
1311 Augusta Rd West Columbia SC 29169-6320
Phone: (803) 926-2919
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Robert G Registered Nurse (RN)
Phone: (803) 926-2919

Health care specialties

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

Profile Details

NPI number 1538158902
LBN Legal business name Medsource Inc.
DBA Doing business as Medsource
Authorized official Wilson, Robert G Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Apr 17th, 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 1538158902 NPPES
South Carolina MEDICAID DME993

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