Provider Demographics
NPI:1598382368
Name:ANCHOR MEDICAL EQUIPMENT AND SUPPLIES, LLC
Entity Type:Organization
Organization Name:ANCHOR MEDICAL EQUIPMENT AND SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:NERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-363-0500
Mailing Address - Street 1:3224 DIJON AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-8520
Mailing Address - Country:US
Mailing Address - Phone:888-967-3211
Mailing Address - Fax:800-651-3566
Practice Address - Street 1:14060 S WINTZELL AVE STE A
Practice Address - Street 2:
Practice Address - City:BAYOU LA BATRE
Practice Address - State:AL
Practice Address - Zip Code:36509-2466
Practice Address - Country:US
Practice Address - Phone:888-967-3221
Practice Address - Fax:888-772-9419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-28
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies