Organization
MOUNTAIN MEDICAL SUPPLY INC
Active
Organization
MOUNTAIN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA LYNN SCANLON (MANAGER)
(276) 865-4096
Entity
Organization
Contact information
Practice address
521 MAIN ST, HAYSI, VA 24256
(276) 865-4096
(276) 865-4098
Mailing address
PO BOX 279, HAYSI, VA 24256
(276) 865-4096
(276) 865-4098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009028
VA
Other
Enumeration date
09/30/2005
Last updated
08/22/2020
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