Provider Demographics
NPI:1356381172
Name:FOLEY MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:FOLEY MEDICAL SUPPLY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-394-1375
Mailing Address - Street 1:23 WHITES PATH UNIT O
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1221
Mailing Address - Country:US
Mailing Address - Phone:598-394-1375
Mailing Address - Fax:508-394-7062
Practice Address - Street 1:23 WHITES PATH UNIT O
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1221
Practice Address - Country:US
Practice Address - Phone:598-394-1375
Practice Address - Fax:508-638-6469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1532146Medicaid
MA0196760001Medicare NSC