Provider Demographics
NPI:1497940498
Name:MED-CARE EQUIPMENT & SUPPLIES
Entity Type:Organization
Organization Name:MED-CARE EQUIPMENT & SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:F
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-794-2018
Mailing Address - Street 1:US 13 BYPASS
Mailing Address - Street 2:202 B
Mailing Address - City:WINDSOR
Mailing Address - State:NC
Mailing Address - Zip Code:27983-7115
Mailing Address - Country:US
Mailing Address - Phone:252-794-2018
Mailing Address - Fax:252-794-2125
Practice Address - Street 1:US 13 BYPASS
Practice Address - Street 2:202 B
Practice Address - City:WINDSOR
Practice Address - State:NC
Practice Address - Zip Code:27983-7115
Practice Address - Country:US
Practice Address - Phone:252-794-2018
Practice Address - Fax:252-794-2125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPENDING332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies