Provider Demographics
NPI:1205970548
Name:SPRINGHILL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:SPRINGHILL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LODWICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-342-3023
Mailing Address - Street 1:3715 DAUPHIN ST
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-1771
Mailing Address - Country:US
Mailing Address - Phone:251-342-3023
Mailing Address - Fax:251-342-3484
Practice Address - Street 1:3715 DAUPHIN ST
Practice Address - Street 2:SUITE 1K
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1771
Practice Address - Country:US
Practice Address - Phone:251-342-3023
Practice Address - Fax:251-342-3484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
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
AL1230211OtherHEALTH SPRINGS
AL510-53696OtherBLUCE CROSS BLUE SHIELD
AL=========OtherTRICARE
AL0173770001Medicare NSC