Winn Dixie Stores Inc in Palm Coast - Durable Medical Equipment & Medical Supplies

Winn Dixie Stores Inc - NPI 1780605154

Winn Dixie Stores Inc is a Durable Medical Equipment & Medical Supplies in Palm Coast, Florida. 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 1780605154. The last update date is 2016-09-23.

Winn Dixie Stores Inc's current location address is 111 Flagler Plaza Dr, Palm Coast, Florida. You can contact this provider via phone number 3865170010 and fax number 3864396850. The mailing address for Winn Dixie Stores Inc is 111 Flagler Plaza Dr, Palm Coast, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winn Dixie Stores Inc
Address 111 Flagler Plaza Dr, Palm Coast, Florida
Phone Number 3865170010
Fax Number 3864396850
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1780605154
Provider Enumeration Date 2006-07-21
Last Updated Date 2016-09-23

Provider Mailing Address Detail

Address 111 Flagler Plaza Dr
City Palm Coast
State Florida (FL)
Post Code 321375967
Phone Number 3865170010
Fax Number 3864396850

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Licence No PH15774
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
106281600 FL --
1082320 OTHER ID NUMBER
106281601 FL --

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FAQs about Winn Dixie Stores Inc

What is the unique identifier code issued to Winn Dixie Stores Inc by the Centers for Medicare & Medicaid Services (CMS)?

The Winn Dixie Stores Inc has been assigned the NPI (National Provider Identifier) 1780605154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Winn Dixie Stores Inc's facilities are geographically located?

The facilities of Winn Dixie Stores Inc are physically situated at the following location: 111 Flagler Plaza Dr, Palm Coast, FL, 321375967.

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

The Winn Dixie Stores Inc's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.

On what date did the Winn Dixie Stores Inc receive its 1780605154 assignment from the Centers for Medicare & Medicaid Services?

The Winn Dixie Stores Inc was assigned its 1780605154 by the Centers for Medicare & Medicaid Services on 2006-07-21.

When was the information regarding Winn Dixie Stores Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Winn Dixie Stores Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-09-23.

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