Provider Demographics
NPI:1780913392
Name:EDWARDS HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:EDWARDS HEALTH CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:330-342-9555
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-0309
Mailing Address - Country:US
Mailing Address - Phone:330-342-9555
Mailing Address - Fax:330-342-9559
Practice Address - Street 1:147 NC HIGHWAY 24
Practice Address - Street 2:201
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-8982
Practice Address - Country:US
Practice Address - Phone:252-247-3300
Practice Address - Fax:252-247-3390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARDS HEALTH CARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-10
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7705188Medicaid
0851010002Medicare NSC