Healthcare Provider Details

I. General information

NPI: 1689075418
Provider Name (Legal Business Name): RELIABLE MEDICAL EQUIPMENT OF SOUTH CAROLINA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W RIGBY ST
MANNING SC
29102-3236
US

IV. Provider business mailing address

246 BROAD ST
SUMTER SC
29150-4144
US

V. Phone/Fax

Practice location:
  • Phone: 803-435-9927
  • Fax: 803-435-9748
Mailing address:
  • Phone: 803-934-9212
  • Fax: 803-934-0750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number014080362
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number014080362
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number014080362
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JEFFREY JOE REED
Title or Position: PARTNER
Credential:
Phone: 803-934-9212