Organization Name: | SOUTHEASTERN ASSOCIATED MEDICAL SERVICES |
NPI Number: | 1689728560 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY CHAMBERS (OWNER) |
Mailing Address: | 207 Old Highway 33 New Tazewell |
State: | TN US |
Postal Code: | 378256821 |
Phone Number: | 4236267755 |
Fax Number: | 4236268231 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 332BX2000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |