One Source Medical Group, Llc

LBN: One Source Medical Group, Llc
One Source Medical Group, Llc is an health care organization with primary practice located at 6205 Abercorn St Ste 101C , Savannah GA 31405-5540. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. One Source Medical Group, Llc can be contacted via phone (866) 834-7473, or through Robichaud, Daniel J via phone (866) 834-7473.

Contact Information

Primary practice address
6205 Abercorn St Ste 101C Savannah GA 31405-5540
Phone: (866) 834-7473
Fax: (877) 490-9111
Website:
Map and Directions
Authorized official contact:
Name: Robichaud, Daniel J
Phone: (866) 834-7473

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1902369267
LBN Legal business name One Source Medical Group, Llc
DBA Doing business as
Authorized official Robichaud, Daniel J
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 12th, 2019
Last updated Feb 22nd, 2024 - 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 1902369267 NPPES
Georgia MEDICAID 003228865A

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