Provider Demographics
NPI:1760418123
Name:HI-MEDEQ INC.
Entity Type:Organization
Organization Name:HI-MEDEQ INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ITALO
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZANOLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-285-6114
Mailing Address - Street 1:5642 S NC 41 HWY
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:NC
Mailing Address - Zip Code:28466-6094
Mailing Address - Country:US
Mailing Address - Phone:910-285-6114
Mailing Address - Fax:910-285-6762
Practice Address - Street 1:5642 S NC 41 HWY
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:NC
Practice Address - Zip Code:28466-6094
Practice Address - Country:US
Practice Address - Phone:910-285-6114
Practice Address - Fax:910-285-6762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7702074Medicaid
NC1179090001Medicare ID - Type Unspecified