Healthcare Provider Details

I. General information

NPI: 1598807166
Provider Name (Legal Business Name): UNIVERSAL MEDICAL SUPPLIERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 MARKET ST
SUNBURY PA
17801
US

IV. Provider business mailing address

PO BOX 583
SUNBURY PA
17801-0583
US

V. Phone/Fax

Practice location:
  • Phone: 570-286-6804
  • Fax: 570-286-7421
Mailing address:
  • Phone: 570-286-6804
  • Fax: 570-286-7421

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 Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL S COLE
Title or Position: OWNER
Credential:
Phone: 570-286-6804