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NPI Code Detail

MEDICARE: HALIFAX MEDICAL EQUIPMENT, INC

MEDICARE: HALIFAX MEDICAL EQUIPMENT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies0206009176VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2245614OTHERVAANTHEM BCBS

General Provider Information

NPI Number : 1316945421
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALIFAX MEDICAL EQUIPMENT, INC
Provider Business Mailing Address
First Line : PO BOX 789
Second Line :
City : HALIFAX
State : VA
Zip : 24558-0789
Country : US
Telephone Number : 434-575-1117
Fax Number : 434-575-1366
Provider Business Practice Location Address
First Line : 4119 HALIFAX RD
Second Line :
City : SOUTH BOSTON
State : VA
Zip : 24592-4833
Country : US
Telephone Number : 434-575-1117
Fax Number : 434-575-1366
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. JOHN WALTER THOMPSON
Credential : RN
Telephone Number : 434-575-1117
Provider Enumeration Date : 07/12/2005
Last Update Date : 03/16/2012

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Directions to “HALIFAX MEDICAL EQUIPMENT, INC ” Practice Location

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