Liberty Medical Specialties, Inc.

LBN: Liberty Medical Specialties, Inc.
Liberty Medical Specialties, Inc. is an health care organization with primary practice located at 1768 Highway 501 , Myrtle Beach SC 29577-9750. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Liberty Medical Specialties, Inc. can be contacted via phone (843) 448-8315, or through Jones, Tamara Lynn via phone (910) 642-2250.

Contact Information

Primary practice address
1768 Highway 501 Myrtle Beach SC 29577-9750
Phone: (843) 448-8315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Tamara Lynn
Phone: (910) 642-2250

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1003009069
LBN Legal business name Liberty Medical Specialties, Inc.
DBA Doing business as
Authorized official Jones, Tamara Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2007
Last updated Jun 28th, 2011 - about 15 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 1003009069 NPPES
North Carolina Other 0476T BCBS
North Carolina MEDICAID 7701229 BCBS
North Carolina MEDICAID DE3292 BCBS

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