Provider Demographics
NPI:1427198720
Name:THS MEDICAL SUPPLIES, LLC
Entity Type:Organization
Organization Name:THS MEDICAL SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-576-3479
Mailing Address - Street 1:7770 OLD FRANKLIN TPKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GLADE HILL
Mailing Address - State:VA
Mailing Address - Zip Code:24092-3968
Mailing Address - Country:US
Mailing Address - Phone:540-576-3479
Mailing Address - Fax:540-576-3629
Practice Address - Street 1:7770 OLD FRANKLIN TPKE
Practice Address - Street 2:SUITE B
Practice Address - City:GLADE HILL
Practice Address - State:VA
Practice Address - Zip Code:24092-3968
Practice Address - Country:US
Practice Address - Phone:540-576-3479
Practice Address - Fax:540-576-3629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAS114502-0332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies