Provider Demographics
NPI:1780668541
Name:NATIONAL MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:NATIONAL MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:B
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-881-2912
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29465-0084
Mailing Address - Country:US
Mailing Address - Phone:843-881-2912
Mailing Address - Fax:843-881-1211
Practice Address - Street 1:1092 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6109
Practice Address - Country:US
Practice Address - Phone:843-881-2912
Practice Address - Fax:843-881-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9007260400Medicaid
SCDE1070Medicaid
SC750828Medicaid
KY9007260400Medicaid