Organization
MEDICAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D UPHAM (PRESIDENT)
(207) 873-6151
Entity
Organization
Contact information
Practice address
146 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5133
(207) 873-6151
(207) 873-3199
Mailing address
146 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5133
(207) 873-6151
(207) 873-3199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0149253
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002610
ANTHEM
ME
05
—
106250000
—
ME
Enumeration date
07/08/2006
Last updated
07/16/2008
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