Organization
HOMEBOUND MEDICAL SUPPLY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HORACE VERNON PIGFORD JR. (PRESIDENT)
(910) 285-4410
Entity
Organization
Contact information
Practice address
615 E SOUTHERLAND ST, WALLACE, NC 28466-0070
(910) 285-4410
(910) 285-7505
Mailing address
PO BOX 70, 615 E SOUTHERLAND ST, WALLACE, NC 28466-0070
(910) 285-4410
(910) 285-7505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00062
NC
332BX2000X
Oxygen Equipment & Supplies (DME)
00062
NC
335E00000X
Prosthetic/Orthotic Supplier
00062
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495W
BCBSNC
NC
05
—
7700037
—
NC
Enumeration date
08/31/2005
Last updated
03/16/2012
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