Provider Demographics
NPI:1447232111
Name:BELCO MEDICAL INC.
Entity Type:Organization
Organization Name:BELCO MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-931-0658
Mailing Address - Street 1:3754 FERNANDINA RD UNIT B-3
Mailing Address - Street 2:P.O. BOX 211368
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-3809
Mailing Address - Country:US
Mailing Address - Phone:803-551-5775
Mailing Address - Fax:803-551-5776
Practice Address - Street 1:3754 FERNANDINA RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-3809
Practice Address - Country:US
Practice Address - Phone:803-551-5775
Practice Address - Fax:803-551-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC001013332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE2523Medicaid
SC5377590001Medicare NSC