Senior Citizens Medical Supply

LBN: Senior Citizens Medical Supply
Senior Citizens Medical Supply is an health care organization with primary practice located at 578 Rowland St , Henderson NC 27536-4358. 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. Senior Citizens Medical Supply can be contacted via phone (252) 492-3842, or through Davis, Herman A. via phone (252) 492-3842.

Contact Information

Primary practice address
578 Rowland St Henderson NC 27536-4358
Fax:
Website:
Authorized official contact:
Name: Davis, Herman A.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 335 North Carolina
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 335 North Carolina

Profile Details

NPI number 1659330223
LBN Legal business name Senior Citizens Medical Supply
DBA Doing business as
Authorized official Davis, Herman A.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1659330223 NPPES
North Carolina MEDICAID 7700397
North Carolina Other 0490K

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