Organization
POWELL MEDICAL EQUIPMENT LLC
Active
Other names
POWELL MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS C POWELL VI ATP (PRESIDENT)
(919) 615-1531
Entity
Organization
Contact information
Practice address
550 PYLON DR, RALEIGH, NC 27606-1415
(919) 615-1531
(919) 615-1624
Mailing address
550 PYLON DR, RALEIGH, NC 27606-1415
(919) 615-1531
(919) 615-1624
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045PH
BCBS PROVIDER NUMBER
NC
05
—
7703276
—
NC
Enumeration date
10/24/2006
Last updated
02/28/2020
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