Healthcare Provider Details
I. General information
NPI: 1003566613
Provider Name (Legal Business Name): FERN MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2022
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
126 W KING ST STE 13
HILLSBOROUGH NC
27278-2182
US
IV. Provider business mailing address
126 W KING ST STE 13
HILLSBOROUGH NC
27278-2182
US
V. Phone/Fax
- Phone: 919-241-4259
- Fax: 919-882-1830
- Phone: 919-241-4259
- Fax: 919-882-1830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HANNAH
MCHUGH
Title or Position: OWNER
Credential: PT, DPT
Phone: 919-241-4259