Provider Demographics
NPI:1558531848
Name:CALCO MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:CALCO MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAWHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-358-6835
Mailing Address - Street 1:814 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3612
Mailing Address - Country:US
Mailing Address - Phone:803-358-6835
Mailing Address - Fax:803-358-6837
Practice Address - Street 1:814 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3612
Practice Address - Country:US
Practice Address - Phone:803-358-6835
Practice Address - Fax:803-358-6837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC333101Medicaid
SC6185220001Medicare NSC