Provider Demographics
NPI:1184001885
Name:VOLUNTEER MEDICAL DEVICES
Entity Type:Organization
Organization Name:VOLUNTEER MEDICAL DEVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:BRITTANY RODRIGUEZ
Authorized Official - Phone:813-563-8500
Mailing Address - Street 1:3209 HIGHWAY 126
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-4520
Mailing Address - Country:US
Mailing Address - Phone:423-354-0100
Mailing Address - Fax:423-212-0704
Practice Address - Street 1:3209 HIGHWAY 126
Practice Address - Street 2:
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-4520
Practice Address - Country:US
Practice Address - Phone:423-354-0100
Practice Address - Fax:423-212-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies