One Source Medical Group

LBN: Payless Medical Supplies, Llc
One Source Medical Group is an health care organization with primary practice located at 108 N Fayetteville St Ste J , Liberty NC 27298-3203. 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. Payless Medical Supplies, Llc can be contacted via phone (866) 533-0772, or through Robichaud, Jon via phone (506) 871-9455.

Contact Information

Primary practice address
108 N Fayetteville St Ste J Liberty NC 27298-3203
Phone: (866) 533-0772
Fax: (866) 629-5786
Website:
Map and Directions
Authorized official contact:
Name: Robichaud, Jon
Phone: (506) 871-9455

Health care specialties

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

Profile Details

NPI number 1891179586
LBN Legal business name Payless Medical Supplies, Llc
DBA Doing business as One Source Medical Group
Authorized official Robichaud, Jon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2015
Last updated Aug 24th, 2022 - about 3 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 1891179586 NPPES
North Carolina Other 7504290001 MEDICARE PTAN

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