Provider Demographics
NPI:1336105717
Name:RELIABLE MEDICAL SUPPLY
Entity Type:Organization
Organization Name:RELIABLE MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:I
Authorized Official - Last Name:HULSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-1990
Mailing Address - Street 1:1 RESORT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3815
Mailing Address - Country:US
Mailing Address - Phone:828-253-1990
Mailing Address - Fax:828-253-1991
Practice Address - Street 1:1 RESORT DR
Practice Address - Street 2:SUITE A
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3815
Practice Address - Country:US
Practice Address - Phone:828-253-1990
Practice Address - Fax:828-253-1991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703967Medicaid
NC7703967Medicaid