Organization
UNITED MEDICAL SUPPLIER INC
Active
Other names
United Medical Home Oxygen & Medical Equipment Co Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE JACKSON CRT CPED (PRESIDENT)
(252) 348-4000
Entity
Organization
Contact information
Practice address
108 MAIN ST, LEWISTON, NC 27849
(252) 348-4000
(252) 348-4001
Mailing address
PO BOX 98, LEWISTON, NC 27849
(252) 348-4000
(252) 348-4001
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045EW
BCBS
NC
05
—
7703192
—
NC
Enumeration date
03/22/2006
Last updated
08/22/2020
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