MEDICARE: MAJORS MEDICAL SUPPLY

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	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4766855002	OTHER	RI	CIGNA
2	625455	OTHER	RI	TRIGON
3	28025	OTHER	RI	NHP
4	7572-7	OTHER	RI	BLUE CROSS RI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	87726	OTHER	RI	UHP
7	Z63204	OTHER	MA	MA BLUE CROSS

General Provider Information

NPI Number	:	1831195551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAJORS MEDICAL SUPPLY

Provider Business Mailing Address
First Line	:	PO BOX 17279
Second Line	:
City	:	ESMOND
State	:	RI
Zip	:	02917-0418
Country	:	US
Telephone Number	:	401-231-7100
Fax Number	:	401-231-0763

Provider Business Practice Location Address
First Line	:	197 PUTNAM PIKE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-1468
Country	:	US
Telephone Number	:	401-231-7100
Fax Number	:	401-231-0763

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAMON BRADLEY
Credential	:
Telephone Number	:	401-231-7100

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	08/22/2020

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Directions to “MAJORS MEDICAL SUPPLY ” Practice Location

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