Organization Name: | DOMINION MEDICAL SUPPLIES |
NPI Number: | 1174754063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TEREZ L PATTERSON (OWNER/MANAGER) |
Mailing Address: | 4110 Granby St Norfolk |
State: | VA US |
Postal Code: | 23508 |
Phone Number: | 7572015398 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 07/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 904518 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |