Organization
HALIFAX MEDICAL EQUIPMENT, INC
Active
Organization
HALIFAX MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WALTER THOMPSON RN (VICE PRESIDENT)
(434) 575-1117
Entity
Organization
Contact information
Practice address
4119 HALIFAX RD, SOUTH BOSTON, VA 24592-4833
(434) 575-1117
(434) 575-1366
Mailing address
PO BOX 789, HALIFAX, VA 24558-0789
(434) 575-1117
(434) 575-1366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009176
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009111239
—
VA
01
—
245614
ANTHEM BCBS
VA
Enumeration date
07/12/2005
Last updated
03/16/2012
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