Organization
SOUTH SHORE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY B HENDRIX (CFO)
(877) 688-2729
Entity
Organization
Contact information
Practice address
58 NORFOLK AVE, UNIT # 2, SOUTH EASTON, MA 02375-1907
(508) 230-7272
(508) 230-7269
Mailing address
8516 NW EXPRESSWAY, OKLAHOMA CITY, OK 73162-6010
(877) 688-2729
(888) 718-0633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110029448A
—
MA
05
—
3071420
—
NH
Enumeration date
12/23/2005
Last updated
05/18/2022
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