Organization
DOC SUPPLY OF WEST TENNESSEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT T BALDRIDGE ATP (OWNER)
(800) 306-5160
Entity
Organization
Contact information
Practice address
201 LAKEVIEW RD, SUITE D, SOMERVILLE, TN 38068-9742
(901) 620-6900
(800) 481-1206
Mailing address
39 THREE WAY LN, SUITE A, HUMBOLDT, TN 38343-8561
(800) 306-5160
(800) 481-1206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1014
TN
332BC3200X
Customized Equipment (DME)
1014
TN
Other
Enumeration date
03/04/2010
Last updated
12/29/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up