Organization
SUN MEDICAL LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RICHARD CRANWELL (PRESIDENT/CEO)
(540) 389-3800
Entity
Organization
Contact information
Practice address
1807 MURRY RD SW, SUITE A, ROANOKE, VA 24018-1514
(540) 389-3800
(540) 389-8030
Mailing address
1807 MURRY RD SW, SUITE A, ROANOKE, VA 24018-1514
(540) 389-3800
(540) 389-8030
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009236
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009100121
—
VA
01
—
00910021
VIRGINIA PREMIER
VA
01
—
395990
ANTHEM BCBS
VA
Enumeration date
05/26/2006
Last updated
09/13/2012
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