Performance Medical Supply Inc

LBN: Performance Medical Supply Inc
Performance Medical Supply Inc is an health care organization with primary practice located at 1635 Georgia Ave , North Augusta SC 29841-3069. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Performance Medical Supply Inc can be contacted via phone (803) 278-2910, or through Hester, Kevin M via phone (803) 278-2910.

Contact Information

Primary practice address
1635 Georgia Ave North Augusta SC 29841-3069
Phone: (803) 278-2910
Fax: (803) 278-5380
Website:
Map and Directions
Authorized official contact:
Name: Hester, Kevin M
Phone: (803) 278-2910

Health care specialties

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

Profile Details

NPI number 1760462428
LBN Legal business name Performance Medical Supply Inc
DBA Doing business as
Authorized official Hester, Kevin M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 3rd, 2012 - about 14 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 1760462428 NPPES
South Carolina MEDICAID DE1988

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