Organization · Type 2 NPI
Mountain Medical Supply, LLC
Durable Medical Equipment & Medical Supplies · Aiken, SC
Practice location
6170 Woodside Executive Ct
Aiken, SC 29803-3820
Fax (877) 492-2716
Mailing address
723 N 1890 W Ste 38A
Provo, UT 84601-1333
Other practice locations
- 711 Jefferson St, Paducah, KY 42001-6817 · (435) 327-0227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 14834 (SC) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 170014 (KY) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1306362769
Mountain Medical Supply, LLC's National Provider Identifier is 1306362769, issued on Aug 17, 2017. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Aiken, SC. The record was last updated on Sep 8, 2022.