Provider Demographics
NPI:1023253697
Name:LOWCOUNTRY HOME MEDICAL EQUIPMENT COMPANY INC.
Entity type:Organization
Organization Name:LOWCOUNTRY HOME MEDICAL EQUIPMENT COMPANY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-209-7185
Mailing Address - Street 1:1947 HOFFMEYER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-3935
Mailing Address - Country:US
Mailing Address - Phone:843-662-3043
Mailing Address - Fax:843-662-3045
Practice Address - Street 1:1947 HOFFMEYER RD STE A
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3935
Practice Address - Country:US
Practice Address - Phone:843-662-3043
Practice Address - Fax:843-662-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC4434760001Medicare NSC