Organization
BEAUFORT MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON WORKENS (OPERATIONS MANAGER)
(843) 379-2800
Entity
Organization
Contact information
Practice address
2127 BOUNDARY ST, STE 5, BEAUFORT, SC 29902-3827
(843) 379-2800
(843) 379-2801
Mailing address
2127 BOUNDARY ST, STE 5, BEAUFORT, SC 29902-3827
(843) 379-2800
(843) 379-2801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2043
—
SC
Enumeration date
12/07/2005
Last updated
02/15/2012
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