Mutual Medical, Llc

LBN: Mutual Medical, Llc
Mutual Medical, Llc is an health care organization with primary practice located at 108 Sharon Dr , Yadkinville NC 27055-6769. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Mutual Medical, Llc can be contacted via phone (336) 677-1299, or through Abbott, A Blake via phone (336) 677-1299.

Contact Information

Primary practice address
108 Sharon Dr Yadkinville NC 27055-6769
Phone: (336) 677-1299
Fax: (336) 677-1219
Website:
Map and Directions
Authorized official contact:
Name: Abbott, A Blake
Phone: (336) 677-1299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1891966073
LBN Legal business name Mutual Medical, Llc
DBA Doing business as
Authorized official Abbott, A Blake
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Dec 2nd, 2008 - about 18 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 1891966073 NPPES
North Carolina MEDICAID 7704965

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