Tidewater Medical Supply, Inc in Chesapeake - Oxygen Equipment & Supplies
Tidewater Medical Supply, Inc - NPI 1104923895
Tidewater Medical Supply, Inc is a Oxygen Equipment & Supplies in Chesapeake, Virginia. Tidewater Medical Supply, Inc practices all healthcare services and medical treatments related to Oxygen Equipment & Supplies. The NPI Number for Tidewater Medical Supply, Inc is 1104923895. The last update date is 2010-03-11.
Tidewater Medical Supply, Inc's current location address is 525 Byron St, Chesapeake, Virginia. You can contact this provider via phone number 7575489999 and fax number 7575497752. The mailing address for Tidewater Medical Supply, Inc is 525 Byron St, Chesapeake, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Medical Supply, Inc |
|---|---|
| Address | 525 Byron St, Chesapeake, Virginia |
| Phone Number | 7575489999 |
| Fax Number | 7575497752 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davies Anthony Keith |
| Telephone Number | 7575489999 |
NPI Number Detail
| NPI Number | 1104923895 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2010-03-11 |
Provider Mailing Address Detail
| Address | 525 Byron St |
|---|---|
| City | Chesapeake |
| State | Virginia (VA) |
| Post Code | 233207967 |
| Phone Number | 7575489999 |
| Fax Number | 7575497752 |
Provider's Primary Taxonomy Detail
| Speciality | Oxygen Equipment & Supplies |
|---|---|
| Taxonomy | 332Bx2000X |
| Licence No | 206009115 |
|
Definition: Respiratory durable medical equipment dispensing therapeutic oxygen and related supplies like regulators, tubing and cannulas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1258980001 | VA | MEDICARE PARTICIPATING PROVIDE | |
| 9117920 | VA | -- |
Post Comment/ Review Below
What is the Tidewater Medical Supply, Inc's 1104923895?
The Tidewater Medical Supply, Inc's NPI (National Provider Identifier) Number is 1104923895. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Tidewater Medical Supply, Inc?
The Tidewater Medical Supply, Inc is situated at 525 Byron St, in the city of Chesapeake, state of VA, with the zip code 233207967.
What is Tidewater Medical Supply, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tidewater Medical Supply, Inc is Oxygen Equipment & Supplies, and the taxonomy code that classifies this field of practice is 332Bx2000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104923895 to Tidewater Medical Supply, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1104923895 to Tidewater Medical Supply, Inc on 2006-09-17.
As of what date were the details related to Tidewater Medical Supply, Inc most recently updated or revised?
The information pertaining to Tidewater Medical Supply, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-11.