Healthcare Provider Details
I. General information
NPI: 1760324735
Provider Name (Legal Business Name): EMERGEORTHO PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1205 38TH AVE N # 1209
MYRTLE BEACH SC
29577-1313
US
IV. Provider business mailing address
PO BOX 5105
BELFAST ME
04915-5100
US
V. Phone/Fax
- Phone: 910-332-3800
- Fax: 910-251-0421
- Phone: 919-220-5255
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARCI
LYNN
HARVEY
Title or Position: DIRECTOR/OPERATIONS MANAGER
Credential:
Phone: 828-294-7793