Provider Demographics
NPI:1861673071
Name:HEALTH CARE SOLUTIONS-DME
Entity Type:Organization
Organization Name:HEALTH CARE SOLUTIONS-DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:VERNELL
Authorized Official - Last Name:WATTS-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-526-8018
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-0580
Mailing Address - Country:US
Mailing Address - Phone:804-451-9359
Mailing Address - Fax:804-451-9360
Practice Address - Street 1:20605 THIRD AVE
Practice Address - Street 2:
Practice Address - City:ETTRICK
Practice Address - State:VA
Practice Address - Zip Code:23803-2005
Practice Address - Country:US
Practice Address - Phone:804-451-9359
Practice Address - Fax:804-451-9360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X332B00000X
VA33BC3200X332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010053811Medicaid