Provider Demographics
NPI:1093893406
Name:CENTURY MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:CENTURY MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GAYLAND
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-285-5656
Mailing Address - Street 1:1701 WESTCHESTER DR
Mailing Address - Street 2:SUITE 340
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7008
Mailing Address - Country:US
Mailing Address - Phone:336-285-5656
Mailing Address - Fax:866-855-9123
Practice Address - Street 1:1701 WESTCHESTER DR
Practice Address - Street 2:STE 340
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7008
Practice Address - Country:US
Practice Address - Phone:336-285-5656
Practice Address - Fax:866-855-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5801540001Medicare NSC