MEDICARE: EMERGEORTHO PA

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

General Provider Information

NPI Number	:	1760324735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGEORTHO PA

Provider Business Mailing Address
First Line	:	PO BOX 5105
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-5100
Country	:	US
Telephone Number	:	919-220-5255
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 38TH AVE N # 1209
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-1313
Country	:	US
Telephone Number	:	910-332-3800
Fax Number	:	910-251-0421

Authorized Official
Title or Position	:	DIRECTOR/OPERATIONS MANAGER
Name	:	DARCI LYNN HARVEY
Credential	:
Telephone Number	:	828-294-7793

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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