BARBER'S VITAL CARE NPI 1386747897

NPI Information

NPI: 1386747897
Provider Name: BARBER'S VITAL CARE
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 11D2234550

Address:
731 CAMERON DR
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 449-4444
Get Directions

BARBER'S VITAL CARE is a durable medical equipment medical supplies in Blackshear, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BARBER'S VITAL CARE NPI is 1386747897. The provider is registered as an organization entity type.

The provider's business location address is:

731 CAMERON DR
BLACKSHEAR, GA
ZIP 31516-309
Phone: (912) 449-4444
Fax: (912) 449-8735

The provider's authorized official is Fred Barber .
The authorized official title is Manager and has the following contact phone number (912) 449-4444.

The CLIA number assigned to this NPI record is 11D2234550 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		PHRE004024	GEORGIA	Yes
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	PHRE004024	GEORGIA	X
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	PHRE004024	GEORGIA	X
4	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	PHRE004024	GEORGIA	X
5	333600000X	Pharmacy		PHRE004024	GEORGIA	X
6	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHRE004024	GEORGIA	X
7	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	PHRE004024	GEORGIA	X
8	3336L0003X	Pharmacy	Long Term Care Pharmacy	PHRE004024	GEORGIA	X
9	3336M0002X	Pharmacy	Mail Order Pharmacy	PHRE004024	GEORGIA	X
10	3336S0011X	Pharmacy	Specialty Pharmacy	PHRE004024	GEORGIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00038398A	MEDICAID	GEORGIA
2	0014024-001	OTHER	GEORGIA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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