Organization
PATRIOT MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE FRAME (OWNER/MANAGING DIRECTOR)
(516) 286-0929
Entity
Organization
Contact information
Practice address
519 W MAIN ST, JACKSON, MO 63755-1740
(573) 290-2841
Mailing address
PO BOX 184, BOLINGBROKE, GA 31004-0184
(516) 286-0929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
12/11/2017
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