Provider Demographics
NPI:1932109576
Name:RIGGS HOSPITAL SUPPLIES INC
Entity Type:Organization
Organization Name:RIGGS HOSPITAL SUPPLIES INC
Other - Org Name:RIGGS DRUG CO. INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBUSK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-362-1284
Mailing Address - Street 1:PO BOX 1407
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-1407
Mailing Address - Country:US
Mailing Address - Phone:423-562-5235
Mailing Address - Fax:423-563-7242
Practice Address - Street 1:500 W CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-3400
Practice Address - Country:US
Practice Address - Phone:423-562-5235
Practice Address - Fax:423-563-7242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3518937Medicaid
TN21358OtherBCBS TN
TN3518937Medicaid