Mountain Medical Supply, Llc

LBN: Mountain Medical Supply, Llc
Mountain Medical Supply, Llc is an health care organization with primary practice located at 6170 Woodside Executive Ct , Aiken SC 29803-3820. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mountain Medical Supply, Llc can be contacted via phone (435) 327-0227, or through Reaves, Wayne via phone (435) 327-0227.

Contact Information

Primary practice address
6170 Woodside Executive Ct Aiken SC 29803-3820
Fax: (877) 492-2716
Website:
Authorized official contact:
Name: Reaves, Wayne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 14834 South Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 170014 Kentucky

Profile Details

NPI number 1306362769
LBN Legal business name Mountain Medical Supply, Llc
DBA Doing business as
Authorized official Reaves, Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2017
Last updated Sep 8th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306362769 NPPES
Other 617577000 U.S. DEPT OF LABOR OFFICE OF WORKERS' COMPENSATION PROGRAMS
Other 622826800 U.S. DEPT OF LABOR OFFICE OF WORKERS' COMPENSATION PROGRAMS

Popular Providers