Provider Demographics
NPI:1861673394
Name:FREEDOM MEDICAL INC
Entity Type:Organization
Organization Name:FREEDOM MEDICAL INC
Other - Org Name:FREEDOM MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:CRTT
Authorized Official - Phone:865-696-2775
Mailing Address - Street 1:6714 CENTRAL AVENUE PIKE STE H
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-1424
Mailing Address - Country:US
Mailing Address - Phone:865-696-2775
Mailing Address - Fax:865-558-6131
Practice Address - Street 1:6714 CENTRAL AVENUE PIKE STE H
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-1424
Practice Address - Country:US
Practice Address - Phone:865-696-2775
Practice Address - Fax:865-558-6131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies