Provider Demographics
NPI:1689082752
Name:VI HOSPITAL AND MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:VI HOSPITAL AND MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:HOFMANN
Authorized Official - Last Name:BANGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-777-4588
Mailing Address - Street 1:3801 GASVERKS GADE
Mailing Address - Street 2:SUITE 2, BAYS 3 AND 4
Mailing Address - City:CHARLOTTE AMALIE
Mailing Address - State:VI
Mailing Address - Zip Code:00802-5747
Mailing Address - Country:US
Mailing Address - Phone:340-777-4588
Mailing Address - Fax:340-777-4771
Practice Address - Street 1:3801 GASVERKS GADE
Practice Address - Street 2:SUITE 2, BAYS 3 AND 4
Practice Address - City:CHARLOTTE AMALIE
Practice Address - State:VI
Practice Address - Zip Code:00802-5747
Practice Address - Country:US
Practice Address - Phone:340-777-4588
Practice Address - Fax:340-777-4771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies