Provider Demographics
NPI:1801577614
Name:ANCHOR MEDICAL LLC
Entity type:Organization
Organization Name:ANCHOR MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FARTHING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-712-3881
Mailing Address - Street 1:5255 WOODROW BEAN STE 8B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-3831
Mailing Address - Country:US
Mailing Address - Phone:912-712-3881
Mailing Address - Fax:833-630-0702
Practice Address - Street 1:5255 WOODROW BEAN STE 8B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-3831
Practice Address - Country:US
Practice Address - Phone:833-667-8669
Practice Address - Fax:833-630-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition