Healthcare Provider Details

I. General information

NPI: 1891495594
Provider Name (Legal Business Name): REGIONAL MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 FREEWAY DR
REIDSVILLE NC
27320-6035
US

IV. Provider business mailing address

1406 BETHANY DR
GREENSBORO NC
27455-9354
US

V. Phone/Fax

Practice location:
  • Phone: 336-210-6651
  • Fax: 336-763-9551
Mailing address:
  • Phone: 336-347-0873
  • Fax: 336-347-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MILLER ANYOGU
Title or Position: PRESIDENT
Credential:
Phone: 336-347-0873