DIABETIC SUPPLY FOUNDATION OF 94 INC NPI 1992772081

NPI Information

NPI: 1992772081
Provider Name: DIABETIC SUPPLY FOUNDATION OF 94 INC

Other Name: DIABETIC SUPPLY OF 94 INC.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
124A HUNTERSVILLE CONCORD RD
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 875-0733
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DIABETIC SUPPLY FOUNDATION OF 94 INC is a durable medical equipment medical supplies in Huntersville, NC. 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. DIABETIC SUPPLY FOUNDATION OF 94 INC NPI is 1992772081. The provider is registered as an organization entity type.
The provider Other Name Is Diabetic Supply Of 94 Inc..

The provider's business location address is:

124A HUNTERSVILLE CONCORD RD
HUNTERSVILLE, NC
ZIP 28078-215
Phone: (704) 875-0733
Fax: (704) 948-9704

The provider's authorized official is Sonya K Mcgee .
The authorized official title is Owner and has the following contact phone number (704) 875-0733.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 3/2/2010.

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				Yes

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	009113126	MEDICAID	VIRGINIA
2	0867180001	MEDICARE NSC	NORTH CAROLINA
3	77701560	MEDICAID	NORTH CAROLINA
4	DM0661	MEDICAID	SOUTH CAROLINA
5	0463E	OTHER	NORTH CAROLINA	BCBLUE SHIELD PROVIDER ID

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

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