Organization
TRI-COUNTY MEDICAL & OSTOMY SUPPLIES, INC.
Active
Parent organization
LIBERATOR MEDICAL SUPPLY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERATOR MEDICAL SUPPLY, INC.
Authorized official
ROBERT ANDREW EMERSON (VICE PRESIDENT)
(407) 755-7946
Entity
Organization
Contact information
Practice address
198 MARKETPLACE BLVD SUITE B 110, JOHNSON CITY, TN 37604
(423) 282-1851
(423) 282-8270
Mailing address
PO BOX 446, STUART, FL 34995-0446
(772) 287-2414
(772) 287-3280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000795
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014343
PIN
TN
05
—
009108718
—
VA
01
—
100036063
PIN
TN
05
—
3546318
—
TN
Enumeration date
05/31/2005
Last updated
03/02/2026
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