Organization
POTOMAC VALLEY HOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALEED ADNAN BEIDAS (PRESIDENT)
(301) 722-6300
Entity
Organization
Contact information
Practice address
505 NORTH CENTRE STREET, CUMBERLAND, MD 21502
(301) 722-6300
(301) 722-4787
Mailing address
505 NORTH CENTRE STREET, CUMBERLAND, MD 21505
(301) 722-6300
(301) 722-4787
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142505000
—
WV
05
—
1007630390004
—
PA
05
—
411478700
—
MD
Enumeration date
06/15/2005
Last updated
05/26/2021
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