Organization
CHAIR & EQUIPMENT RENTALS AND SALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C DOLAN (OWNER)
(704) 333-8431
Entity
Organization
Contact information
Practice address
800 CENTRAL AVE, CHARLOTTE, NC 28204-2026
(704) 333-8431
(704) 333-5506
Mailing address
800 CENTRAL AVE, CHARLOTTE, NC 28204-2026
(704) 333-8431
(704) 333-5506
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
73
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046AK
BLUE CROSS BLUE SHIELD
—
01
—
18538
PARTNERS MEDICARE
—
01
—
32 CHAIR & EQUPIMENT
GENTIVA CARECENTRIX
—
05
—
7701460
—
NC
01
—
CHAIR & EQUIPMENT
PROCURA
—
05
—
DME857
—
SC
Enumeration date
10/05/2005
Last updated
08/22/2020
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