Provider Demographics
NPI:1396978524
Name:CAUSEY MEDICAL SUPPLY
Entity type:Organization
Organization Name:CAUSEY MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSEY
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-365-8473
Mailing Address - Street 1:3892 2ND LOOP RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-4602
Mailing Address - Country:US
Mailing Address - Phone:843-365-8473
Mailing Address - Fax:
Practice Address - Street 1:3892 2ND LOOP RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-4602
Practice Address - Country:US
Practice Address - Phone:843-365-8473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies