Provider Demographics
NPI:1326194804
Name:RIGHTWAY MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:RIGHTWAY MEDICAL SUPPLY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT -OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:DUSTIN
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN , CPED
Authorized Official - Phone:806-793-7444
Mailing Address - Street 1:3407 34TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2829
Mailing Address - Country:US
Mailing Address - Phone:806-793-7444
Mailing Address - Fax:806-799-4287
Practice Address - Street 1:3407 34TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2829
Practice Address - Country:US
Practice Address - Phone:806-793-7444
Practice Address - Fax:806-799-4287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1711780Medicaid
TX5186630001Medicare NSC