1780668541 NPI number — NATIONAL MEDICAL SUPPLIES, INC.

Table of content: DR. THOMAS MICHAEL BUESCHER LCSW (NPI 1518014422)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780668541 NPI number — NATIONAL MEDICAL SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL MEDICAL SUPPLIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780668541
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 84
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29465-0084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-881-2912
Provider Business Mailing Address Fax Number:
843-881-1211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1092 JOHNNIE DODDS BLVD
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29464-6109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-881-2912
Provider Business Practice Location Address Fax Number:
843-881-1211
Provider Enumeration Date:
12/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
REED
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
B
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
843-881-2912

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9007260400 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: DE1070 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 750828 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com