Organization
SUBURBAN MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORRAINE MCPHERSON (PRESIDENT CEO)
(301) 333-0563
Entity
Organization
Contact information
Practice address
505 HAMPTON PARK BLVD, STE. H, CAPITOL HEIGHTS, MD 20743-3827
(301) 333-0563
(301) 333-0562
Mailing address
505 HAMPTON PARK BLVD, STE. H, CAPITOL HEIGHTS, MD 20743-3827
(301) 333-0563
(301) 333-0562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R1000
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17778
HMO
DC
01
—
2621815
AETNA HMO
MD
01
—
293039
ALLIANCE
MD
01
—
4398
HEALTH RIGHT HMO
MD
01
—
7617146
AETNA PPO
MD
01
—
91045
AMERIGROUP
MD
01
—
MJ76SU
CAREFIRST BCBS
MD
Enumeration date
05/22/2006
Last updated
08/22/2020
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