Organization
HUFFMAN MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN STUART HUFFMAN (VICE PRESIDENT / OWNER)
(336) 627-0750
Entity
Organization
Contact information
Practice address
2260 HARRINGTON HWY, EDEN, NC 27288-7550
(336) 627-0750
(336) 623-7160
Mailing address
PO BOX 1207, EDEN, NC 27289-1207
(336) 627-0750
(336) 623-7160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00125
NC
332B00000X
Durable Medical Equipment & Medical Supplies
0206009062
VA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
00125
NC
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0206009062
VA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00125
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
0206009062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0474W
BCBS PROVIDER NUMBER
—
05
—
7701272
—
NC
05
—
9106472
—
VA
Enumeration date
07/20/2005
Last updated
12/06/2011
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