Homebound Medical Supply Co is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Wallace, North Carolina. It is situated at 615 E Southerland St, Wallace and its contact number is 910-285-4410. The authorized person of Homebound Medical Supply Co is Mr. Horace Vernon Pigford Jr.
who is President of the store and his/her contact number is 910-285-4410. Primary license number for Homebound Medical Supply Co is 00062 in North Carolina. Homebound Medical Supply Co is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Homebound Medical Supply Co Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
615 E Southerland St, Wallace, North Carolina, 28466-0070
Phone:
910-285-4410
Fax:
910-285-7505
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Horace Vernon Pigford Jr.
Position:
President
Contact Number:
910-285-4410
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Homebound Medical Supply Co center are as mentioned below.
NPI Number:
1700879194
NPI Enumeration Date:
31 Aug, 2005
NPI Last Update On:
16 Mar, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Homebound Medical Supply Co are as mentioned below.
Specialization
License Number
State
Status
00062
North Carolina
Primary
00062
North Carolina
Secondary
00062
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0495W
Other
North Carolina
Bcbsnc
7700037
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Homebound Medical Supply Co Po Box 70, 615 E Southerland St Wallace, North Carolina
Zip:
28466-0070
Phone Number:
910-285-4410
Fax Number:
910-285-7505
Patients can reach Homebound Medical Supply Co at 615 E Southerland St, Wallace, North Carolina or can call to book an appointment on 910-285-4410. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.