Provider Demographics
NPI:1770575466
Name:NH MED SERVICES LLC
Entity type:Organization
Organization Name:NH MED SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-859-0504
Mailing Address - Street 1:17563 S NC HIGHWAY 109
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27239-7733
Mailing Address - Country:US
Mailing Address - Phone:336-859-0504
Mailing Address - Fax:336-859-0372
Practice Address - Street 1:17563 S NC HIGHWAY 109
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:NC
Practice Address - Zip Code:27239-7733
Practice Address - Country:US
Practice Address - Phone:336-859-0504
Practice Address - Fax:336-859-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0007243336332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703503Medicaid
SCDM1173Medicaid
NC4296780001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER