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NPI Code Detail

MEDICARE: MEDFAXX,INC.

MEDICARE: MEDFAXX,INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies000977949NC
2332B00000XDurable Medical Equipment & Medical SuppliesNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
103502OTHERNCBCBS NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
303502OTHERNCBCBS

General Provider Information

NPI Number : 1962579177
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDFAXX,INC.
Provider Business Mailing Address
First Line : P.O. BOX 1289
Second Line :
City : WAKE FOREST
State : NC
Zip : 27588-1289
Country : US
Telephone Number : 919-570-0350
Fax Number : 919-570-0354
Provider Business Practice Location Address
First Line : 525 S. WHITE ST.
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-2920
Country : US
Telephone Number : 919-570-0350
Fax Number : 919-570-0354
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ELIZABETH G. JOHNSON
Credential : P.T.
Telephone Number : 919-570-0350
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/24/2009

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