Provider Demographics
NPI:1952314486
Name:MEDICAL SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:MEDICAL SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KWEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-233-4866
Mailing Address - Street 1:539 KEISLER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9320
Mailing Address - Country:US
Mailing Address - Phone:919-233-4866
Mailing Address - Fax:919-233-6781
Practice Address - Street 1:539 KEISLER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9320
Practice Address - Country:US
Practice Address - Phone:919-233-4866
Practice Address - Fax:919-233-6781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7702111Medicaid
TN4582214Medicaid
TN4582214Medicaid