Organization
NORTH CENTRAL MEDICAL CORPORATION INC
Active
Other names
Diabetic Solutions Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK B THOMPSON III (CEO)
(352) 373-9656
Entity
Organization
Contact information
Practice address
4001 NEWBERRY RD, STE A2, GAINESVILLE, FL 32607-2358
(352) 373-9656
(352) 374-4136
Mailing address
PO BOX 142098, GAINESVILLE, FL 32614-2098
(352) 373-9656
(352) 374-4136
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009930935
—
AL
01
—
010070554
VIRGINIA MEDICAL ASSISTAN
VA
05
—
0440757
—
MS
05
—
1164348
—
LA
05
—
606429698A
—
GA
05
—
7703365
—
NC
01
—
DM1139
SOUTH CAROLINA MEDICAID P
SC
Enumeration date
01/03/2006
Last updated
10/08/2009
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