MEDICARE: NH MED SERVICES, LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	0007243336	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1356729669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NH MED SERVICES, LLC

Provider Business Mailing Address
First Line	:	17563 S NC HIGHWAY 109
Second Line	:
City	:	DENTON
State	:	NC
Zip	:	27239-7733
Country	:	US
Telephone Number	:	336-859-0504
Fax Number	:	336-859-0372

Provider Business Practice Location Address
First Line	:	2250 SUNSET BLVD
Second Line	:	SUITE L
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4750
Country	:	US
Telephone Number	:	877-343-5305
Fax Number	:	803-851-5933

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	MR. DENNIS LOFLIN
Credential	:
Telephone Number	:	336-859-0504

Provider Enumeration Date	:	05/07/2015
Last Update Date	:	05/07/2015

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Directions to “NH MED SERVICES, LLC ” Practice Location

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