Southeastern Diabetic Supply

LBN: Southeastern Medical Supply Co
Southeastern Diabetic Supply is an health care organization with primary practice located at 7221 Brookfield Rd , Columbia SC 29223-2215. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Southeastern Medical Supply Co can be contacted via phone (803) 419-6766, or through Strange, Michael C via phone (803) 419-6766.

Contact Information

Primary practice address
7221 Brookfield Rd Columbia SC 29223-2215
Phone: (803) 419-6766
Fax: (803) 419-6645
Website:
Map and Directions
Authorized official contact:
Name: Strange, Michael C RFO
Phone: (803) 419-6766

Health care specialties

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

Profile Details

NPI number 1104807783
LBN Legal business name Southeastern Medical Supply Co
DBA Doing business as Southeastern Diabetic Supply
Authorized official Strange, Michael C RFO
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Dec 23rd, 2009 - 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 1104807783 NPPES
South Carolina MEDICAID DE1551

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