Provider Demographics
NPI:1346491396
Name:SHUMAN HEALTH CARE
Entity Type:Organization
Organization Name:SHUMAN HEALTH CARE
Other - Org Name:SHUMAN HEALTHCARE OF FOLKSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BUCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-285-5272
Mailing Address - Street 1:3913 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOLKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:31537-7545
Mailing Address - Country:US
Mailing Address - Phone:912-496-2745
Mailing Address - Fax:
Practice Address - Street 1:3913 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOLKSTON
Practice Address - State:GA
Practice Address - Zip Code:31537-7545
Practice Address - Country:US
Practice Address - Phone:912-496-2745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHUMAN HEALTH CARE OF WAYCROSS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-08
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0323030002Medicare NSC