Organization
DIRECT MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EARL WILLIAMS C-PED (GENERAL MANAGER)
(901) 737-5069
Entity
Organization
Contact information
Practice address
7285 WINCHESTER RD, SUITE 104, MEMPHIS, TN 38125-2164
(901) 737-5069
(901) 737-5078
Mailing address
7285 WINCHESTER RD, SUITE 104, MEMPHIS, TN 38125-2164
(901) 737-5069
(901) 737-5078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
617
TN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
617
TN
333300000X
Emergency Response System Companies
617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440826
—
MS
05
—
142674716
—
AR
05
—
144931
—
TN
05
—
1452535
—
TN
05
—
1467715
—
LA
05
—
24698
—
TN
05
—
25225
—
TN
01
—
392849
BCBS KS PROVIDER NUMBER
KS
01
—
4067605
BCBS TN PROVIDER NUMBER
TN
05
—
4067605
—
TN
01
—
49873
BCBS AR PROVIDER NUMBER
AR
05
—
5261409009
—
MO
01
—
H445036
TN COMMISSION ON AGING
TN
Enumeration date
05/06/2006
Last updated
02/27/2018
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