FOUR LEAF CLOVER INC NPI 1750451357

NPI Information

NPI: 1750451357
Provider Name: FOUR LEAF CLOVER, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3280 HWY 69
SUITE II
HAYESVILLE, NC
ZIP 28904
Phone: (888) 777-3203
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FOUR LEAF CLOVER, INC is a durable medical equipment medical supplies in Hayesville, 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. FOUR LEAF CLOVER, INC NPI is 1750451357. The provider is registered as an organization entity type.

The provider's business location address is:

3280 HWY 69
SUITE II
HAYESVILLE, NC
ZIP 28904-007
Phone: (888) 777-3203
Fax: (828) 389-9778

The provider's authorized official is William F. Sweeney .
The authorized official title is Owner/president and has the following contact phone number (888) 777-3203.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/26/2010.

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	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies	2004-16341	FLORIDA	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		NORTH CAROLINA	No
3	332B00000X	Durable Medical Equipment & Medical Supplies	1035023	NORTH CAROLINA	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	9000515800	MEDICAID	KENTUCKY
2	464074	MEDICAID	ARIZONA
3	600678485	OTHER	NORTH CAROLINA	NC STATE ID
4	1031990001	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE PROVIDER ID
5	2254804	MEDICAID	OHIO
6	7703099	MEDICAID	NORTH CAROLINA
7	1031990001	MEDICARE PIN
8	R8517	OTHER		BLUE CROSS BLUE SHIELD
9	145573501	MEDICAID	TEXAS
10	4582201	MEDICAID	TENNESSEE
11	200003930 A	MEDICAID	OKLAHOMA
12	100454120 A	MEDICAID	KANSAS
13	000965346A	MEDICAID	GEORGIA
14	146926741	MEDICAID	ARKANSAS
15	003107887	MEDICAID	CONNECTICUT
16	001963766	MEDICAID	PENNSYLVANIA
17	182741	MEDICAID	OREGON
18	200408900 A	MEDICAID	INDIANA
19	4503699	MEDICAID	MICHIGAN
20	1031990001	MEDICARE NSC	NORTH CAROLINA
21	00440785	MEDICAID	MISSISSIPPI
22	65-509-5427-001	MEDICAID	ILLINOIS
23	7777027 00	MEDICAID	MARYLAND

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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