Provider Demographics
NPI:1952512352
Name:FAITH MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:FAITH MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-474-2932
Mailing Address - Street 1:306 A WEST BROAD STREET
Mailing Address - Street 2:
Mailing Address - City:ST PAULS
Mailing Address - State:NC
Mailing Address - Zip Code:28384
Mailing Address - Country:US
Mailing Address - Phone:910-865-3452
Mailing Address - Fax:
Practice Address - Street 1:306 W BROAD ST
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT PAULS
Practice Address - State:NC
Practice Address - Zip Code:28384-1536
Practice Address - Country:US
Practice Address - Phone:910-865-3452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3408352Medicaid
NC6601246Medicaid