Provider Demographics
NPI:1811065485
Name:RIGGS HOSPITAL SUPPLIES INC
Entity type:Organization
Organization Name:RIGGS HOSPITAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBUSK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-362-1284
Mailing Address - Street 1:PO BOX 1049
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-1049
Mailing Address - Country:US
Mailing Address - Phone:865-947-5235
Mailing Address - Fax:865-947-8359
Practice Address - Street 1:602 E EMORY RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-3521
Practice Address - Country:US
Practice Address - Phone:865-947-5235
Practice Address - Fax:865-947-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5161480002Medicare NSC