Provider Demographics
NPI:1457446262
Name:STAMPERS HEALTH ENTERPRISES INC
Entity Type:Organization
Organization Name:STAMPERS HEALTH ENTERPRISES INC
Other - Org Name:VIRGINIAS MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-686-6321
Mailing Address - Street 1:PO BOX 257
Mailing Address - Street 2:
Mailing Address - City:RURAL RETREAT
Mailing Address - State:VA
Mailing Address - Zip Code:24368
Mailing Address - Country:US
Mailing Address - Phone:276-686-6321
Mailing Address - Fax:276-686-6160
Practice Address - Street 1:544 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:RURAL RETREAT
Practice Address - State:VA
Practice Address - Zip Code:24368
Practice Address - Country:US
Practice Address - Phone:276-686-6321
Practice Address - Fax:276-686-6160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009159332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009109013Medicaid
VA4267740001Medicare NSC