MEDICARE: MSI OF VIRGINIA

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	:	1770656217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MSI OF VIRGINIA

Provider Business Mailing Address
First Line	:	2814 HOOPER'S ISLAND RD
Second Line	:
City	:	CHURCH CREEK
State	:	MD
Zip	:	21622-0000
Country	:	US
Telephone Number	:	484-459-0656
Fax Number	:

Provider Business Practice Location Address
First Line	:	2814 HOOPER'S ISLAND RD
Second Line	:
City	:	CHURCH CREEK
State	:	MD
Zip	:	21622-0000
Country	:	US
Telephone Number	:	484-459-0656
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. CATHERINE ANN SALTIS
Credential	:
Telephone Number	:	484-459-0656

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/22/2020

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Directions to “MSI OF VIRGINIA ” Practice Location

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