Provider Demographics
NPI:1275713257
Name:24-7 MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:24-7 MEDICAL SUPPLY, LLC
Other - Org Name:HOME OXYGEN & MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BLAIN
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-428-8033
Mailing Address - Street 1:1304 B EAST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75426-4229
Mailing Address - Country:US
Mailing Address - Phone:903-428-8033
Mailing Address - Fax:903-428-8035
Practice Address - Street 1:1304B E MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TX
Practice Address - Zip Code:75426-4229
Practice Address - Country:US
Practice Address - Phone:903-428-8033
Practice Address - Fax:903-428-8035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-07
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6121790001Medicare NSC
TX6121790001Medicare NSC