Provider Demographics
NPI:1801942321
Name:BURLINGTON MEDICAL EQUIPMENT & SUPPLIES, INC.
Entity type:Organization
Organization Name:BURLINGTON MEDICAL EQUIPMENT & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:SINEATH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:336-226-0825
Mailing Address - Street 1:1623 VAUGHN RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2913
Mailing Address - Country:US
Mailing Address - Phone:336-226-0825
Mailing Address - Fax:336-226-3696
Practice Address - Street 1:1623 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2913
Practice Address - Country:US
Practice Address - Phone:336-226-0825
Practice Address - Fax:336-226-3696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC672332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7700040Medicaid
NC7700040Medicaid