Advantage Diabetic Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Columbia, SC
NPI 1144344896 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1144344896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 03238649084223 (SC)
- Legal business name
- ADVANTAGE DIABETIC SUPPLY
- Practice address
- 2400 Two Notch
Columbia, SC 29204 - Phone
- (803) 748-8888
- Fax
- (803) 748-8808
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Winford Thompson, CEO
- Title
- Owner
- Phone
- (803) 748-8888
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Advantage Diabetic Supply
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 03238649084223 | SC | Yes |
Addresses
Primary practice location
2400 Two Notch
Columbia, SC 29204
Mailing address
2400 Two Notch
Columbia, SC 29204
Phone (803) 748-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2856 | Medicaid | SC |
Other providers in Columbia, SC
- Advanced Care Solutions, LLC
- Advanced Medical Equipment Inc
- Advanced Prosthetics, Inc
- Advanced Total Care LLC
- Advantage Care Services LLC
- Advantage Health and Wellness
- Advantage Health Systems
- Advantage Health Systems
- Advantage Health Systems
- Advantage Health Systems
All providers in Columbia, SC · Durable Medical Equipment & Medical Supplies in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.