Active NPI
Vital Source USA Inc.
- Durable Medical Equipment & Medical Supplies
- Daniel Island, SC
National Provider Identifier
1730313164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VITAL SOURCE USA INC.
- Practice address
- 210 Seven Farms Dr
Ste 201
Daniel Island, SC 29492-7561 - Phone
- (843) 606-4500
- Fax
- (843) 606-4490
- NPI assigned
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John D. Stratton
- Title
- President
- Phone
- (843) 606-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
210 Seven Farms Dr
Ste 201
Daniel Island, SC 29492-7561
Mailing address
210 Seven Farms Dr
Ste 201
Daniel Island, SC 29492-7561
Phone (843) 606-4500
National Provider Directory
National Provider DirectoryLocations
210 Seven Farms Dr
Ste 201
Daniel Island, SC 29492
Phone (843) 606-4500
3820 Faber Place Dr
#600700
North Charleston, SC 29405
Phone (877) 850-7484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1730313164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 SEVEN FARMS DR",
"address_2": "STE 201",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927561",
"telephone_number": "843-606-4500",
"fax_number": "843-606-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SEVEN FARMS DR",
"address_2": "STE 201",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927561",
"telephone_number": "843-606-4500",
"fax_number": "843-606-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL SOURCE USA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "STRATTON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "843-606-4500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.