Winn Dixie Stores Inc in St Simons Island - Durable Medical Equipment & Medical Supplies

Winn Dixie Stores Inc - NPI 1104084037

Winn Dixie Stores Inc is a Durable Medical Equipment & Medical Supplies in St Simons Island, Georgia. Winn Dixie Stores Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Winn Dixie Stores Inc is 1104084037. The last update date is 2016-06-20.

Winn Dixie Stores Inc's current location address is 220 Retreat Village, St Simons Island, Georgia. You can contact this provider via phone number 9126344817 and fax number 9126344819. The mailing address for Winn Dixie Stores Inc is 220 Retreat Village, St Simons Island, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winn Dixie Stores Inc
Address 220 Retreat Village, St Simons Island, Georgia
Phone Number 9126344817
Fax Number 9126344819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Grimm M. Sandlin
Telephone Number 9047835578

NPI Number Detail

NPI Number 1104084037
Provider Enumeration Date 2008-05-28
Last Updated Date 2016-06-20

Provider Mailing Address Detail

Address 220 Retreat Village
City St Simons Island
State Georgia (GA)
Post Code 315222403
Phone Number 9126344817
Fax Number 9126344819

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No PHRE009482
Definition:
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246000 FL --
066761006B GA --
066761006A GA --
1157381 NCPDP PROVIDER IDENTIFICATION

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FAQs about Winn Dixie Stores Inc

What is the unique 10-digit identification code assigned to Winn Dixie Stores Inc by the Centers for Medicare & Medicaid Services?

The Winn Dixie Stores Inc has been issued the NPI (National Provider Identifier) 1104084037, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Winn Dixie Stores Inc?

The Winn Dixie Stores Inc is physically situated at 220 Retreat Village, in the city of St Simons Island, state of GA, with the postal code 315222403.

What is Winn Dixie Stores Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Winn Dixie Stores Inc is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.

On what date did Winn Dixie Stores Inc receive its 1104084037 assignment from the Centers for Medicare & Medicaid Services?

The Winn Dixie Stores Inc was assigned its 1104084037 on 2008-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Winn Dixie Stores Inc most recently updated or refreshed?

The details pertaining to the Winn Dixie Stores Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-06-20.

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