MEDICARE: PRECISION MEDICAL SOLUTIONS 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		VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	181048	OTHER	VA	BCBS PROVIDER #
2	133386	OTHER	VA	OPTIMA PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891739637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	PO BOX 8126
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23666-8126
Country	:	US
Telephone Number	:	757-224-0462
Fax Number	:	757-353-4441

Provider Business Practice Location Address
First Line	:	400 COPELAND DR
Second Line	:
City	:	HAMPTON
State	:	VA
Zip	:	23661-1305
Country	:	US
Telephone Number	:	757-224-0462
Fax Number	:	757-353-4441

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CYNTHIA HILTON-WADE
Credential	:
Telephone Number	:	757-224-0462

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/18/2013

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