Provider Demographics
NPI:1750774295
Name:SAMS MEDICAL SUPPLY
Entity type:Organization
Organization Name:SAMS MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-768-9851
Mailing Address - Street 1:PO BOX 70811
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-0811
Mailing Address - Country:US
Mailing Address - Phone:615-768-9851
Mailing Address - Fax:
Practice Address - Street 1:601 N DUPONT AVE
Practice Address - Street 2:#A5
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3229
Practice Address - Country:US
Practice Address - Phone:615-768-9851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier