Organization
MEDIC HOME EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT JOHNSON (DIRECTOR OF OPERATIONS)
(252) 672-9301
Entity
Organization
Contact information
Practice address
1202 S GLENBURNIE RD, NEW BERN, NC 28562-2608
(252) 672-9301
(252) 672-9302
Mailing address
1202 S GLENBURNIE RD, NEW BERN, NC 28562-2608
(252) 672-9301
(252) 672-9302
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0468U
BCBS OF NC
NC
05
—
7704041
—
NC
Enumeration date
08/31/2006
Last updated
08/22/2020
Update your record
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