Organization
SUFFOLK HOME MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS INMAN (OWNER)
(941) 473-1187
Entity
Organization
Contact information
Practice address
815 W CONSTANCE RD, SUFFOLK, VA 23434-5649
(757) 539-2772
(757) 539-5037
Mailing address
47 GRAND PALMS BLVD, ENGLEWOOD, FL 34223-1808
(941) 473-1187
(941) 473-1187
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009133321
—
VA
01
—
062865
PROVIDER NUMBER(BCBS)
VA
01
—
7700372
DMAS PROVIDER NUMBER
NC
Enumeration date
10/18/2006
Last updated
10/02/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us