Holistic Medical Supply

LBN: Grace Udo
Holistic Medical Supply is an health care organization with primary practice located at 11605 Edmonston Rd , Beltsville MD 20705-1739. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Grace Udo can be contacted via phone (301) 595-3477, or through Udo, David E via phone (301) 595-3477.

Contact Information

Primary practice address
11605 Edmonston Rd Beltsville MD 20705-1739
Phone: (301) 595-3477
Fax: (301) 595-3466
Website:
Map and Directions
Authorized official contact:
Name: Udo, David E
Phone: (301) 595-3477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1871672725
LBN Legal business name Grace Udo
DBA Doing business as Holistic Medical Supply
Authorized official Udo, David E
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 13th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871672725 NPPES
Maryland MEDICAID 015030400

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